A review of phototherapy protocols for psoriasis treatment

Journal of the American Academy of Dermatology

Volumn 64, Issue 5, 2011, Pages 936-949

  Lapolla, Whitney ^a   Yentzer, Brad A ^a   Bagel, Jerry ^b   Halvorson, Christian R ^a   Feldman, Steven R ^a  

^a WAKE FOREST SCHOOL OF MEDICINE   (United States)

^b Psoriasis Treatment Center of Central New Jersey   (United States)

Author keywords

excimer; light; monochromatic; narrowband; NB UVB; psoralen; psoriasis; PUVA; targeted; ultraviolet; UVA; UVB

Indexed keywords

ADALIMUMAB; ALEFACEPT; ANTIPSORIASIS AGENT; BERGAPTEN; CALCIPOTRIOL; COAL TAR; CYCLOSPORIN; DITHRANOL; ETANERCEPT; ETRETIN; MAGNESIUM ION; METHOTREXATE; METHOXSALEN; PROTEIN P53; PSORALEN; RETINOID DERIVATIVE; STEROID; TAZAROTENE; THYMINE; TRIMETHYLPSORALEN;

ABSENCE OF SIDE EFFECTS; ADJUVANT THERAPY; BALNEOTHERAPY; BURN; CANCER RISK; CARCINOGENESIS; CELL CYCLE ARREST; CHEMORADIOTHERAPY; CLINICAL PROTOCOL; DERMATITIS; DNA REPLICATION; DOSIMETRY; DRUG DOSE REDUCTION; DRUG EFFICACY; DRUG SAFETY; DRUG SUBSTITUTION; DRUG TOLERABILITY; DRUG WITHDRAWAL; ERYTHEMA; EXCIMER LASER; GASTROINTESTINAL SYMPTOM; HOME CARE; HUMAN; IMMUNOSUPPRESSIVE TREATMENT; LANGERHANS CELL; LYMPHOCYTE PROLIFERATION; MAINTENANCE THERAPY; MONOTHERAPY; NAUSEA; OUTPATIENT CARE; PATIENT COMPLIANCE; PHOTOAGING; PHOTOTHERAPY; PHOTOTOXICITY; PRACTICE GUIDELINE; PRIORITY JOURNAL; PSORIASIS; PUVA; QUALITY OF LIFE; RADIATION DOSE; RADIATION SAFETY; RECURRENT DISEASE; REMISSION; REVIEW; SKIN CARCINOGENESIS; SKIN COLOR; SQUAMOUS CELL CARCINOMA; STAPHYLOCOCCUS AUREUS; SUNBURN; TREATMENT DURATION; TREATMENT OUTCOME; ULTRAVIOLET B RADIATION; UNSPECIFIED SIDE EFFECT;

ACITRETIN; CAROTID STENOSIS; CLINICAL PROTOCOLS; HUMANS; IMMUNOSUPPRESSIVE AGENTS; KERATOLYTIC AGENTS; LASERS, EXCIMER; METHOTREXATE; PSORIASIS; PUVA THERAPY; TREATMENT OUTCOME; ULTRAVIOLET THERAPY;

EID: 79954774031     PISSN: 01909622     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jaad.2009.12.054     Document Type: Review

References (106)

1. J.P. Callen, G.G. Krueger, M. Lebwohl, E.I. McBurney, P. Mease, and A. Menter AAD consensus statement on psoriasis therapies J Am Acad Dermatol 49 2003 897 899 (Pubitemid 37314880)
2. L. Guenther, R.G. Langley, N.H. Shear, R. Bissonnette, V. Ho, and C. Lynde Integrating biologic agents into management of moderate-to-severe psoriasis: a consensus of the Canadian Psoriasis Expert Panel. February 27, 2004 J Cutan Med Surg 8 2004 321 337 (Pubitemid 41542422)
3. W. Sterry, J. Barker, W.H. Boehncke, J.D. Bos, S. Chimenti, and E. Christophers Biological therapies in the systemic management of psoriasis: International Consensus Conference Br J Dermatol 151 Suppl. 69 2004 3 17 (Pubitemid 39215184)
4. G. Delrosso, C. Bornacina, P. Farinelli, F. Bellinzona, G. Leigheb, and E. Colombo Bath PUVA and psoriasis: is a milder treatment a worse treatment? Dermatology 216 2008 191 193 (Pubitemid 351416716)
5. M. Zanolli Phototherapy treatment of psoriasis today J Am Acad Dermatol 49 2 Suppl 2003 S78 S86
6. S.R. Feldman, J.Y. Koo, M.G. Lebwohl, A. Menter, and A. Van Voorhees The Psoriasis and Psoriatic Arthritis Pocket Guide: Treatment algorithms and management options National Psoriasis Foundation 2005
7. K. Kostovic, and A. Pasic Phototherapy of psoriasis: review and update Acta Dermatovenerol Croat 12 2004 42 50 (Pubitemid 38524296)
8. V. Mysore Targeted phototherapy Indian J Dermatol Venereol Leprol 75 2009 119 125
9. T.S. Housman, J.M. Rohrback, A.B. Fleischer Jr., and S.R. Feldman Phototherapy utilization for psoriasis is declining in the United States J Am Acad Dermatol 46 2002 557 559
10. M. Yoshimura, S. Namura, H. Akamatsu, and T. Horio Antimicrobial effects of phototherapy and photochemotherapy in vivo and in vitro Br J Dermatol 135 1996 528 532 (Pubitemid 26340261)
11. L.K. Dotterud, T. Wilsgaard, L.H. Vorland, and E.S. Falk The effect of UVB radiation on skin microbiota in patients with atopic dermatitis and healthy controls Int J Circumpolar Health 67 2008 254 260
12. R. Glaser, F. Navid, W. Schuller, C. Jantschitsch, J. Harder, and J.M. Schroder UV-B radiation induces the expression of antimicrobial peptides in human keratinocytes in vitro and in vivo J Allergy Clin Immunol 123 2009 1117 1123
13. H. Honigsmann Phototherapy for psoriasis Clin Exp Dermatol 26 2001 343 350 (Pubitemid 34204349)
14. A. Morita, and J. Krutmann Ultraviolet A radiation-induced apoptosis Methods Enzymol 319 2000 302 309 (Pubitemid 30448053)
15. S. Gruner, A. Zwirner, D. Strunk, and N. Sonnichsen The influence of topical dermatological treatment modalities on epidermal Langerhans cells and contact sensitization in mice Contact Dermatitis 26 1992 241 247
16. B. DeSilva, R.C. McKenzie, J.A. Hunter, and M. Norval Local effects of TL01 phototherapy in psoriasis Photodermatol Photoimmunol Photomed 24 2008 268 269
17. M. Zanolli Phototherapy arsenal in the treatment of psoriasis Dermatol Clin 22 2004 397 406 viii (Pubitemid 39140771)
18. L.A. Schneider, R. Hinrichs, and K. Scharffetter-Kochanek Phototherapy and photochemotherapy Clin Dermatol 26 2008 464 476
19. S.S. Yones, R.A. Palmer, T.T. Garibaldinos, and J.L. Hawk Randomized double-blind trial of the treatment of chronic plaque psoriasis: efficacy of psoralen-UV-A therapy vs narrowband UV-B therapy Arch Dermatol 142 2006 836 842 (Pubitemid 44079782)
20. T. Markham, S. Rogers, and P. Collins Narrowband UV-B (TL-01) phototherapy vs oral 8-methoxypsoralen psoralen-UV-A for the treatment of chronic plaque psoriasis Arch Dermatol 139 2003 325 328 (Pubitemid 36330579)
21. P.M. Gordon, B.L. Diffey, J.N. Matthews, and P.M. Farr A randomized comparison of narrow-band TL-01 phototherapy and PUVA photochemotherapy for psoriasis J Am Acad Dermatol 41 1999 728 732 (Pubitemid 29514028)
22. K. Storbeck, E. Holzle, N. Schurer, P. Lehmann, and G. Plewig Narrow-band UVB (311 nm) versus conventional broad-band UVB with and without dithranol in phototherapy for psoriasis J Am Acad Dermatol 28 1993 227 231 (Pubitemid 23053710)
23. I.B. Walters, L.H. Burack, T.R. Coven, P. Gilleaudeau, and J.G. Krueger Suberythemogenic narrow-band UVB is markedly more effective than conventional UVB in treatment of psoriasis vulgaris J Am Acad Dermatol 40 1999 893 900 (Pubitemid 29268919)
24. T.R. Coven, L.H. Burack, R. Gilleaudeau, M. Keogh, M. Ozawa, and J.G. Krueger Narrowband UV-B produces superior clinical and histopathological resolution of moderate-to-severe psoriasis in patients compared with broadband UV-B Arch Dermatol 133 1997 1514 1522
25. A. Pasic, R. Ceovic, J. Lipozencic, K. Husar, S.M. Susic, and M. Skerlev Phototherapy in pediatric patients Pediatr Dermatol 20 2003 71 77 (Pubitemid 37047177)
26. C.S. Jury, P. McHenry, A.D. Burden, R. Lever, and D. Bilsland Narrowband ultraviolet B (UVB) phototherapy in children Clin Exp Dermatol 31 2006 196 199
27. J.A. Parrish, and K.F. Jaenicke Action spectrum for phototherapy of psoriasis J Invest Dermatol 76 1981 359 362 (Pubitemid 12236508)
28. M.B. Koek, E. Buskens, C.A. Bruijnzeel-Koomen, and V. Sigurdsson Home ultraviolet B phototherapy for psoriasis: discrepancy between literature, guidelines, general opinions and actual use. Results of a literature review, a web search, and a questionnaire among dermatologists Br J Dermatol 154 2006 701 711 (Pubitemid 43374096)
29. B.A. Yentzer, C.B. Yelverton, D.J. Pearce, F.T. Camacho, Z. Makhzoumi, and A. Clark Adherence to acitretin and home narrowband ultraviolet B phototherapy in patients with psoriasis J Am Acad Dermatol 59 2008 577 581
30. R.P. Sarkany, A. Anstey, B.L. Diffey, R. Jobling, K. Langmack, and J.M. McGregor Home phototherapy: report on a workshop of the British Photodermatology Group, December 1996 Br J Dermatol 140 1999 195 199 (Pubitemid 29111343)
31. H. Cameron, S. Yule, H. Moseley, R.S. Dawe, and J. Ferguson Taking treatment to the patient: development of a home TL-01 ultraviolet B phototherapy service Br J Dermatol 147 2002 957 965 (Pubitemid 35365444)
32. A. Morita, Y. Shintani, E. Nishida, H. Kato, H. Yoshida, and M. Minamoto Feasibility and accuracy of a newly developed hand-held device with a flat-type fluorescent lamp for measuring the minimal erythema dose for narrow-band UVB therapy Photodermatol Photoimmunol Photomed 25 2009 41 44
33. S. Valkova UVB phototherapeutic modalities. Comparison of two treatments for chronic plaque psoriasis Acta Dermatovenerol Alp Panonica Adriat 16 2007 26 30 (Pubitemid 46584570)
34. M.M. Kleinpenning, T. Smits, J. Boezeman, P.C. van de Kerkhof, A.W. Evers, and M.J. Gerritsen Narrowband ultraviolet B therapy in psoriasis: randomized double-blind comparison of high-dose and low-dose irradiation regimens Br J Dermatol 161 2009 1351 1356 Epub April 10
35. G. Boztepe, H. Akinci, S. Sahin, A. Karaduman, S.E. Evans, and G. Erkin In search of an optimum dose escalation for narrowband UVB phototherapy: is it time to quit 20% increments? J Am Acad Dermatol 55 2006 269 271 (Pubitemid 44038023)
36. S.H. Ibbotson, D. Bilsland, N.H. Cox, R.S. Dawe, B. Diffey, and C. Edwards An update and guidance on narrowband ultraviolet B phototherapy: a British Photodermatology Group Workshop Report Br J Dermatol 151 2004 283 297 (Pubitemid 39215142)
37. N.J. Wainwright, R.S. Dawe, and J. Ferguson Narrowband ultraviolet B (TL-01) phototherapy for psoriasis: which incremental regimen? Br J Dermatol 139 1998 410 414 (Pubitemid 28430456)
38. R.M. Youssef, D. Mahgoub, H.M. Mashaly, E. El-Nabarawy, N. Samir, and M. El-Mofty Different narrowband UVB dosage regimens in dark skinned psoriatics: a preliminary study Photodermatol Photoimmunol Photomed 24 2008 256 259
39. R.S. Dawe, N.J. Wainwright, H. Cameron, and J. Ferguson Narrow-band (TL-01) ultraviolet B phototherapy for chronic plaque psoriasis: three times or five times weekly treatment? Br J Dermatol 138 1998 833 839 (Pubitemid 28231525)
40. V. Leenutaphong, P. Nimkulrat, and S. Sudtim Comparison of phototherapy two times and four times a week with low doses of narrow-band ultraviolet B in Asian patients with psoriasis Photodermatol Photoimmunol Photomed 16 2000 202 206
41. H. Cameron, R.S. Dawe, S. Yule, J. Murphy, S.H. Ibbotson, and J. Ferguson A randomized, observer-blinded trial of twice vs. three times weekly narrowband ultraviolet B phototherapy for chronic plaque psoriasis Br J Dermatol 147 2002 973 978 (Pubitemid 35365446)
42. S. Karrer, C. Eholzer, G. Ackermann, M. Landthaler, and R.M. Szeimies Phototherapy of psoriasis: comparative experience of different phototherapeutic approaches Dermatology 202 2001 108 115 (Pubitemid 32337159)
43. G. Boztepe, A. Karaduman, S. Sahin, M. Hayran, and F. Kolemen The effect of maintenance narrow-band ultraviolet B therapy on the duration of remission for psoriasis: a prospective randomized clinical trial Int J Dermatol 45 2006 245 250 (Pubitemid 43337637)
44. A. Nast, I. Kopp, M. Augustin, K.B. Banditt, W.H. Boehncke, and M. Follmann German evidence-based guidelines for the treatment of psoriasis vulgaris (short version) Arch Dermatol Res 299 2007 111 138 (Pubitemid 46835379)
45. British Photodermatology Group guidelines for PUVA Br J Dermatol 130 1994 246 255
46. S.M. Halpern, A.V. Anstey, R.S. Dawe, B.L. Diffey, P.M. Farr, and J. Ferguson Guidelines for topical PUVA: a report of a workshop of the British photodermatology group Br J Dermatol 142 2000 22 31 (Pubitemid 30074466)
47. W.L. Morison Phototherapy and photochemotherapy: an update Semin Cutan Med Surg 18 1999 297 306
48. H. van Weelden, E. Young, and J.C. van der Leun Therapy of psoriasis: comparison of photochemotherapy and several variants of phototherapy Br J Dermatol 103 1980 1 9 (Pubitemid 10091501)
49. D.J. Cripps, and N.J. Lowe Photochemotherapy for psoriasis remission times. Psoralens and UV-A and combined photochemotherapy with anthralin Clin Exp Dermatol 4 1979 477 483 (Pubitemid 10214223)
50. M. Lebwohl, and S. Ali Treatment of psoriasis. Part 1. Topical therapy and phototherapy J Am Acad Dermatol 45 2001 487 498 (Pubitemid 32917240)
51. A. Kornhauser, W.G. Wamer, and A.L. Giles Jr. Psoralen phototoxicity: correlation with serum and epidermal 8-methoxypsoralen and 5-methoxypsoralen in the guinea pig Science 217 1982 733 735
52. A. Tanew, B. Ortel, K. Rappersberger, and H. Honigsmann 5-Methoxypsoralen (Bergapten) for photochemotherapy. Bioavailability, phototoxicity, and clinical efficacy in psoriasis of a new drug preparation J Am Acad Dermatol 18 1988 333 338 (Pubitemid 18061203)
53. T. Fischer, and J. Alsins Treatment of psoriasis with trioxsalen baths and dysprosium lamps Acta Derm Venereol 56 1976 383 390
54. M. Hannuksela, and J. Karvonen Trioxsalen bath plus UVA effective and safe in the treatment of psoriasis Br J Dermatol 99 1978 703 707 (Pubitemid 9086211)
55. C. Gawlik, B. Gibis, G. Sander, and P. Rheinberger [Usefulness and necessity of unsynchronized photosolotherapy and bath-PUVA-two variants of balneophototherapy - in funded ambulatory health care] Z Arztl Fortbild Qualitatssich 95 2001 509 512 German (Pubitemid 33710580)
56. V. Streit, O. Wiedow, and E. Christophers Treatment of psoriasis with polyethylene sheet bath PUVA J Am Acad Dermatol 35 1996 208 210
57. J.W. Melski, L. Tanenbaum, J.A. Parrish, T.B. Fitzpatrick, and H.L. Bleich Oral methoxsalen photochemotherapy for the treatment of psoriasis: a cooperative clinical trial J Invest Dermatol 68 1977 328 335 (Pubitemid 8132292)
58. T. Henseler, K. Wolff, H. Honigsmann, and E. Christophers Oral 8-methoxypsoralen photochemotherapy of psoriasis. The European PUVA study: a cooperative study among 18 European centres Lancet 1 1981 853 857 (Pubitemid 11099313)
59. S.H. Ibbotson, and P.M. Farr The time-course of psoralen ultraviolet A (PUVA) erythema J Invest Dermatol 113 1999 346 350
60. S. Behrens-Williams, C. Gruss, M. Grundmann-Kollmann, R.U. Peter, and M. Kerscher Assessment of minimal phototoxic dose following 8-methoxypsoralen bath: maximal reaction on average after 5 days Br J Dermatol 142 2000 112 115 (Pubitemid 30074480)
61. B. Gonzalez-Sixto, E. Roson, E. Mayo, I. Garcia-Doval, A. Conde, and M. Cruces Minimal phototoxic dose determination at 72 h vs. 120 h J Eur Acad Dermatol Venereol 21 2007 1419 1420 (Pubitemid 350020156)
62. P. Collins, N.J. Wainwright, I. Amorim, T. Lakshmipathi, and J. Ferguson 8-MOP PUVA for psoriasis: a comparison of a minimal phototoxic dose-based regimen with a skin-type approach Br J Dermatol 135 1996 248 254 (Pubitemid 26252974)
63. K.M. Diette, T. Momtaz, R.S. Stern, K.A. Arndt, and J.A. Parrish Psoralens and UV-A and UV-B twice weekly for the treatment of psoriasis Arch Dermatol 120 1984 1169 1173 (Pubitemid 14026205)
64. A. Sakuntabhai, G.R. Sharpe, and P.M. Farr Response of psoriasis to twice weekly PUVA Br J Dermatol 128 1993 166 171 (Pubitemid 23054334)
65. F.J. Legat, A. Hofer, F. Quehenberger, P. Kahofer, H. Kerl, and P. Wolf Reduction of treatment frequency and UVA dose does not substantially compromise the antipsoriatic effect of oral psoralen-UVA J Am Acad Dermatol 51 2004 746 754 (Pubitemid 39516889)
66. M.C. Valbuena, O. Hernandez, M. Rey, G. Sanchez, and L.P. de Quintana Twice- vs. thrice-weekly MPD PUVA in psoriasis: a randomized-controlled efficacy study Photodermatol Photoimmunol Photomed 23 2007 126 129 (Pubitemid 47034528)
67. M. El-Mofty, H. El Weshahy, R. Youssef, M. Abdel-Halim, H. Mashaly, and M. El Hawary A comparative study of different treatment frequencies of psoralen and ultraviolet A in psoriatic patients with darker skin types (randomized-controlled study) Photodermatol Photoimmunol Photomed 24 2008 38 42
68. K. Faguer, R. Roelandts, A. Dompmartin, W. van der Veen, J. Coster, and T. Stoof Photo(chemo)therapy in private practice in Belgium, France and The Netherlands Photodermatol Photoimmunol Photomed 15 1999 59 63 (Pubitemid 29173205)
69. S. Radakovic, A. Seeber, H. Honigsmann, and A. Tanew Failure of short-term psoralen and ultraviolet A light maintenance treatment to prevent early relapse in patients with chronic recurring plaque-type psoriasis Photodermatol Photoimmunol Photomed 25 2009 90 93
70. A. Menter, A. Gottlieb, S.R. Feldman, A.S. Van Voorhees, C.L. Leonardi, and K.B. Gordon Guidelines of care for the management of psoriasis and psoriatic arthritis: Section 1. Overview of psoriasis and guidelines of care for the treatment of psoriasis with biologics J Am Acad Dermatol 58 2008 826 850 (Pubitemid 351509656)
71. C.S. Carlin, K.P. Callis, and G.G. Krueger Efficacy of acitretin and commercial tanning bed therapy for psoriasis Arch Dermatol 139 2003 436 442 (Pubitemid 36427607)
72. M.B. Koek, E. Buskens, H. van Weelden, P.H. Steegmans, C.A. Bruijnzeel-Koomen, and V. Sigurdsson Home versus outpatient ultraviolet B phototherapy for mild to severe psoriasis: pragmatic multicentre randomised controlled non-inferiority trial (PLUTO study) BMJ 338 2009 b1542
73. T. Meola Jr., N.A. Soter, and H.W. Lim Are topical corticosteroids useful adjunctive therapy for the treatment of psoriasis with ultraviolet radiation? A review of the literature Arch Dermatol 127 1991 1708 1713
74. W.L. Morison, J.A. Parrish, and T.B. Fitzpatrick Controlled study of PUVA and adjunctive topical therapy in the management of psoriasis Br J Dermatol 98 1978 125 132 (Pubitemid 8287249)
75. M. Schmoll, T. Henseler, and E. Christophers Evaluation of PUVA, topical corticosteroids and the combination of both in the treatment of psoriasis Br J Dermatol 99 1978 693 702 (Pubitemid 9086210)
76. K. Kragballe Vitamin D and UVB radiation therapy Cutis 70 5 Suppl 2002 9 12
77. L.C. Guenther Optimizing treatment with topical tazarotene Am J Clin Dermatol 4 2003 197 202 (Pubitemid 36390476)
78. J.Y. Koo, N.J. Lowe, D.A. Lew-Kaya, A.I. Vasilopoulos, J.C. Lue, and J. Sefton Tazarotene plus UVB phototherapy in the treatment of psoriasis J Am Acad Dermatol 43 2000 821 828
79. K.V. Paghdal, and R.A. Schwartz Topical tar: back to the future J Am Acad Dermatol 61 2009 294 302
80. J. Bagel LCD plus NB-UVB reduces time to improvement of psoriasis vs. NB-UVB alone J Drugs Dermatol 8 2009 351 357
81. R. Schiffner, J. Schiffner-Rohe, G. Wolfl, M. Landthaler, A. Glassl, and T. Walther Evaluation of a multicentre study of synchronous application of narrowband ultraviolet B phototherapy (TL-01) and bathing in Dead Sea salt solution for psoriasis vulgaris Br J Dermatol 142 2000 740 747 (Pubitemid 30226389)
82. C.M. Schempp, H.C. Dittmar, D. Hummler, B. Simon-Haarhaus, J. Schulte-Monting, and E. Schopf Magnesium ions inhibit the antigen-presenting function of human epidermal Langerhans cells in vivo and in vitro. Involvement of ATPase, HLA-DR, B7 molecules, and cytokines J Invest Dermatol 115 2000 680 686
83. P. Asawanonda, and Y. Nateetongrungsak Methotrexate plus narrowband UVB phototherapy versus narrowband UVB phototherapy alone in the treatment of plaque-type psoriasis: a randomized, placebo-controlled study J Am Acad Dermatol 54 2006 1013 1018
84. T.I. Kaya, N. Tiftik, U. Tursen, G. Ikizoglu, and A. Yalcin Ultraviolet recall phenomenon associated with methotrexate and cytarabine J Eur Acad Dermatol Venereol 20 2006 353 354
85. K.L. Goldfeder, J.M. Levin, K.A. Katz, L.E. Clarke, A.W. Loren, and W.D. James Ultraviolet recall reaction after total body irradiation, etoposide, and methotrexate therapy J Am Acad Dermatol 56 2007 494 499 (Pubitemid 46273856)
86. B.S. Paul, K. Momtaz, R.S. Stern, K.A. Arndt, and J.A. Parrish Combined methotrexate-ultraviolet B therapy in the treatment of psoriasis J Am Acad Dermatol 7 1982 758 762 (Pubitemid 13242271)
87. I. Marcil, and R.S. Stern Squamous-cell cancer of the skin in patients given PUVA and ciclosporin: nested cohort crossover study Lancet 358 2001 1042 1045 (Pubitemid 32925124)
88. L. Kircik, J. Bagel, N. Korman, A. Menter, C.A. Elmets, and J. Koo Utilization of narrow-band ultraviolet light B therapy and etanercept for the treatment of psoriasis (UNITE): efficacy, safety, and patient-reported outcomes J Drugs Dermatol 7 2008 245 253
89. A. Lucas, I. Belinchon, M. Perez-Crespo, J. Mataix, and I. Betlloch Successful response to narrow-band UVB in a patient undergoing concomitant treatment with adalimumab for psoriasis Australas J Dermatol 49 2008 173 174
90. F.J. Legat, A. Hofer, A. Wackernagel, W. Salmhofer, F. Quehenberger, and H. Kerl Narrowband UV-B phototherapy, alefacept, and clearance of psoriasis Arch Dermatol 143 2007 1016 1022 (Pubitemid 47296078)
91. A. Tanew, A. Guggenbichler, H. Honigsmann, J.M. Geiger, and P. Fritsch Photochemotherapy for severe psoriasis without or in combination with acitretin: a randomized, double-blind comparison study J Am Acad Dermatol 25 1991 682 684
92. Lebwohl M, Drake L, Menter A, Koo J, Gottlieb AB, Zanolli M, et al. Consensus conference: Acitretin in combination with UVB or PUVA in the treatment of psoriasis. J AmAcitretin in combination with UVB or PUVA. J Am Acad Dermatol 2001;45:544-53. (Pubitemid 32917249)
93. T. Kampitak, and P. Asawanonda The efficacy of combination treatment with narrowband UVB (TL-01) and acitretin vs narrowband UVB alone in plaque-type psoriasis: a retrospective study J Med Assoc Thai 89 Suppl. 3 2006 S20 S24
94. T. Ruzicka, C. Sommerburg, O. Braun-Falco, W. Koster, W. Lengen, and W. Lensing Efficiency of acitretin in combination with UV-B in the treatment of severe psoriasis Arch Dermatol 126 1990 482 486 (Pubitemid 20128961)
95. N.J. Lowe, J.H. Prystowsky, T. Bourget, J. Edelstein, S. Nychay, and R. Armstrong Acitretin plus UVB therapy for psoriasis. Comparisons with placebo plus UVB and acitretin alone J Am Acad Dermatol 24 1991 591 594
96. S.R. Feldman, B.G. Mellen, T.S. Housman, R.E. Fitzpatrick, R.G. Geronemus, and P.M. Friedman Efficacy of the 308-nm excimer laser for treatment of psoriasis: results of a multicenter study J Am Acad Dermatol 46 2002 900 906
97. W. Gerber, B. Arheilger, T.A. Ha, J. Hermann, and H.M. Ockenfels Ultraviolet B 308-nm excimer laser treatment of psoriasis: a new phototherapeutic approach Br J Dermatol 149 2003 1250 1258 (Pubitemid 38058102)
98. K.R. Stein, D.J. Pearce, and S.R. Feldman Targeted UV therapy in the treatment of psoriasis J Dermatolog Treat 19 2008 141 145 (Pubitemid 351883000)
99. J. Trott, W. Gerber, S. Hammes, and H.M. Ockenfels The effectiveness of PUVA treatment in severe psoriasis is significantly increased by additional UV 308-nm excimer laser sessions Eur J Dermatol 18 2008 55 60 (Pubitemid 351158173)
100. S.R. Feldman Remissions of psoriasis with excimer laser treatment Dermatol Online J 8 2002 23
101. L. Han, A.K. Somani, Q. Huang, X. Fang, Y. Jin, and L.H. Xiang Evaluation of 308-nm monochromatic excimer light in the treatment of psoriasis vulgaris and palmoplantar psoriasis Photodermatol Photoimmunol Photomed 24 2008 231 236
102. N.J. Neumann, N. Mahnke, D. Korpusik, H. Stege, and T. Ruzicka Treatment of palmoplantar psoriasis with monochromatic excimer light (308-nm) versus cream PUVA Acta Derm Venereol 86 2006 22 24 (Pubitemid 46939783)
103. F. Aubin, M. Vigan, E. Puzenat, D. Blanc, C. Drobacheff, and P. Deprez Evaluation of a novel 308-nm monochromatic excimer light delivery system in dermatology: a pilot study in different chronic localized dermatoses Br J Dermatol 152 2005 99 103
104. M. Lapidoth, M. Adatto, and M. David Targeted UVB phototherapy for psoriasis: a preliminary study Clin Exp Dermatol 32 2007 642 645 (Pubitemid 47609734)
105. P. Asawanonda, N. Amornpinyokeit, and C. Nimnuan Topical 8-methoxypsoralen enhances the therapeutic results of targeted narrowband ultraviolet B phototherapy for plaque-type psoriasis J Eur Acad Dermatol Venereol 22 2008 50 55
106. L. Novakovic, S. Cotton, and J.L. Hawk Spectrophotometric intracutaneous analysis as an early non-invasive predictor of efficacy in the phototherapy of psoriasis Photodermatol Photoimmunol Photomed 25 2009 81 85