Legiawati Lili, Astriningrum Rinadewi, Yusharyahya Shannaz N, Chandrakesuma Vivianne, Pulungan Andria A
From the Department of Dermatology and Venereology, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Faculty of Medicine, Universitas Indonesia, Indonesia.
Indian J Dermatol. 2025 Mar-Apr;70(2):53-56. doi: 10.4103/ijd.ijd_184_23. Epub 2025 Feb 27.
Complications of psoriasis may add to the burden of degenerative diseases already present in elderly patients. Phototherapy is a well-established treatment for psoriasis, and narrowband ultraviolet B (NB-UVB) is currently the first-line phototherapy for psoriasis. Its use in elderly has been assessed and is found to be safe and efficacious for many dermatoses.
To learn the efficacy and safety of NB-UVB phototherapy in geriatric patients with psoriasis in Indonesia.
A retrospective study using data from medical records of psoriasis patients aged ≥60 who received NB-UVB phototherapy at the dermatovenereology outpatient clinic of Dr. Cipto Mangunkusumo National General Hospital in 2014-2020. The data were processed using SPSS version 25, and descriptive analysis was conducted.
From 30 patients, 75% reduction of Psoriasis Area and Severity Index was accomplished by 14 patients (47%) after a median of 21 sessions and a median cumulative dose of 25.7 J/cm2. The side effects were experienced by nine patients (30%), comprising pain, burn, and itch. No patient experienced more than two episodes of erythema during their treatment. Most side effects are mild and do not require discontinuation of therapy.
NB-UVB phototherapy is safe and effective for geriatric patients with psoriasis.
银屑病的并发症可能会加重老年患者已有的退行性疾病负担。光疗是一种成熟的银屑病治疗方法，窄谱中波紫外线（NB-UVB）是目前银屑病的一线光疗方法。其在老年人中的应用已得到评估，发现对许多皮肤病安全有效。
了解NB-UVB光疗在印度尼西亚老年银屑病患者中的疗效和安全性。
一项回顾性研究，使用2014年至2020年在西托·曼贡库苏莫国家综合医院皮肤科门诊接受NB-UVB光疗的≥60岁银屑病患者的病历数据。使用SPSS 25版对数据进行处理，并进行描述性分析。
30例患者中，14例（47%）在中位21次治疗和中位累积剂量25.7 J/cm²后银屑病面积和严重程度指数降低了75%。9例患者（30%）出现副作用，包括疼痛、灼伤和瘙痒。在治疗期间，没有患者出现超过两次的红斑发作。大多数副作用较轻，无需中断治疗。
NB-UVB光疗对老年银屑病患者安全有效。
