Nolan Bridgit V, Yentzer Brad A, Feldman Steven R
SUNY Upstate Medical University, Syracuse, New York, USA.
Dermatol Online J. 2010 Feb 15;16(2):1.
Phototherapy is a mainstay in the treatment of psoriasis and other photoresponsive dermatoses and home phototherapy has broadened therapeutic options.
To describe the history of home phototherapy, the technological advances in the safety and efficacy of the equipment available, and the associated issues of cost, convenience, adherence, and quality of life.
We conducted a literature review of home phototherapy, broad-band UVB, narrow-band UVB, and PUVA phototherapy using PUBMED. A Google search of home phototherapy equipment and technology was also undertaken.
Technological advances in home phototherapy equipment have allowed for more treatment options and improvements in safety and efficacy. One randomized, controlled trial found results comparable to office-based phototherapy. Home phototherapy is convenient, cost-effective, and associated with better quality of life compared to outpatient phototherapy treatment. One trial found that adherence to home phototherapy regimens was better than to oral retinoids.
Home phototherapy is a well-tolerated, efficacious, economical and patient friendly therapeutic option. Advantages of home phototherapy include improved quality of life, greater convenience, lower cost, and less time lost from work and social activities. Dermatologists should strongly consider home phototherapy as a first-line treatment option for appropriately selected psoriasis patients.
光疗是治疗银屑病和其他光反应性皮肤病的主要方法，家庭光疗拓宽了治疗选择。
描述家庭光疗的历史、现有设备在安全性和有效性方面的技术进步，以及相关的成本、便利性、依从性和生活质量问题。
我们使用PUBMED对家庭光疗、宽带UVB、窄带UVB和PUVA光疗进行了文献综述。还通过谷歌搜索了家庭光疗设备和技术。
家庭光疗设备的技术进步带来了更多治疗选择，并提高了安全性和有效性。一项随机对照试验发现其结果与门诊光疗相当。与门诊光疗相比，家庭光疗方便、经济有效，且与更好的生活质量相关。一项试验发现，对家庭光疗方案的依从性优于口服维甲酸。
家庭光疗是一种耐受性良好、有效、经济且患者友好的治疗选择。家庭光疗的优点包括生活质量提高、更方便、成本更低，以及工作和社交活动时间损失更少。皮肤科医生应强烈考虑将家庭光疗作为适当选择的银屑病患者的一线治疗选择。
