Barros Norami de Moura, Sbroglio Lissiê Lunardi, Buffara Maria de Oliveira, Baka Jessica Lana Conceição E Silva, Pessoa Allen de Souza, Azulay-Abulafia Luna
Department of Dermatology, Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Department of Dermatology, Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
An Bras Dermatol. 2021 Jul-Aug;96(4):397-407. doi: 10.1016/j.abd.2021.03.001. Epub 2021 Apr 2.
Of all the therapeutic options available in Dermatology, few of them have the history, effectiveness, and safety of phototherapy. Heliotherapy, NB-UVB, PUVA, and UVA1 are currently the most common types of phototherapy used. Although psoriasis is the most frequent indication, it is used for atopic dermatitis, vitiligo, cutaneous T-cell lymphoma, and cutaneous sclerosis, among others. Before indicating phototherapy, a complete patient assessment should be performed. Possible contraindications should be actively searched for and it is essential to assess whether the patient can come to the treatment center at least twice a week. One of the main method limitations is the difficulty that patients have to attend the sessions. This therapy usually occurs in association with other treatments: topical or systemic medications. Maintaining the regular monitoring of the patient is essential to identify and treat possible adverse effects. Phototherapy is recognized for its benefits and should be considered whenever possible.
在皮肤科所有可用的治疗选择中,很少有像光疗这样拥有悠久历史、具备有效性且安全的疗法。日光疗法、窄谱中波紫外线(NB - UVB)、补骨脂素加紫外线A(PUVA)和长波紫外线1(UVA1)是目前最常用的光疗类型。虽然银屑病是最常见的适应证,但它也用于特应性皮炎、白癜风、皮肤T细胞淋巴瘤和皮肤硬化症等疾病。在采用光疗之前,应对患者进行全面评估。应积极寻找可能的禁忌症,并且评估患者是否能够每周至少到治疗中心两次至关重要。主要方法限制之一是患者参加治疗 sessions 存在困难。这种疗法通常与其他治疗联合使用:局部或全身用药。持续定期监测患者对于识别和治疗可能的不良反应至关重要。光疗因其益处而得到认可,应尽可能予以考虑。