光疗:最新进展

中华皮肤科杂志

光疗:最新进展

Camile L. Hexsel, Henry W. Lim

美国密西根州底特律亨利-福特医学中心皮肤科

收稿日期:2006-11-15 出版日期:2007-05-15 发布日期:2007-05-15
通讯作者: Henry W. Lim,MD,email:hliml@hfhs.org E-mail:hliml@hfhs.org

Received:2006-11-15 Online:2007-05-15 Published:2007-05-15

摘要/Abstract

摘要： 光疗是利用电磁波辐射产生的不同波长的光线来治疗皮肤病的一种方法。光疗的种类很多,包括长波紫外线(UVA),波长320～400 nm,常与补骨脂素联合使用,称为光化学疗法:长波紫外线1(UVA1),波长340～400 nm;宽谱中波紫外线(BB-UVB),波K 270～390 nm,波峰313 nm;窄谱中波紫外线(NB-UVB),波长311～313 nm;以及利用不同波长紫外线进行的局部定位光疗。1987年Edelson等学者描述了一种新的具有免疫调节作用的光化学疗法一体外光分离置换法。本文将重点介绍NB-UVB.UVAI、局部定位光疗和体外光分离置换法在临床方面的应用。

Camile L. Hexsel, Henry W. Lim. 光疗:最新进展[J]. 中华皮肤科杂志, 2007, 40(5): 318-319.

参考文献

[1] Weichenthal M,Schwarz T.Phototherapy:how does UV work?Photodermatol Photoimmunol Photomed,2005,21 (1):260-266.
[2] Ibbotson SH,Bilsland D,Cox NH,et al.An update and guidance on narrowband ultraviolet B phototherapy:a British Photodermatology Group Workshop Report.Br J Dermatol,2004,151 (2):283-297.
[3] Parsad D,Kanwar AJ,Kumar B.Psoralen-ultraviolet A vs.narrow-band ultraviolet B phototherapy for the treatment of vitiligo.J Eur Acad Dermatol Venereol,2006,20(2):175-177.
[4] Diederen PV,van Weelden H,Sanders CJ,et al.Narrowband UVB and psoralen-UVA in the treatment of early-stage mycosis fungoides:a retrospective study.J Am Acad Dermatol,2003,48(2):215-219.
[5] Gathers RC,Scherschun L,Malick F,et al.Narrowband UVB phototherapy for early-stage mycosis fungoides.J Am Acad Dermatol,2002,47(2):191-197.
[6] Yones SS,Palmer RA,Garibaldinos TT,et al.Randomized double-blind trial of the treatment of chronic plaque psoriasis:efficacy of psoralen-UV-A therapy vs narrowband UV-B therapy.Arch Dermatol,2006,142(7):836-842.
[7] Legat FJ,Hofer A,Brabek E,et al.Narrowband UV-B vs mediumdose UV-A1 phototherapy in chronic atopic dermatitis.Arch Dermatol,2003,139(2):223-224.
[8] Man I,Dawe RS,Ferguson J.Artificial hardening for polymorphic light eruption:practical points from ten years' experience.Photodermatol Photoimmunol Photomed,1999,15 (3-4):96-99.
[9] Samson Yashar S,Gielczyk R,Scherschun L,et al.Narrow-band ultraviolet B treatment for vitiligo,pruritus,and inflammatory dermatoses.Photodermatol Photoimmunol Photomed,2003,19(4):164-168.
[10] Pirkhammer D,Seeber A,Honigsmann H,et al.Narrow-band ultraviolet B (ATL-01) phototherapy is an effective and safe treatment option for patients with severe seborrhoeic dermatitis.Br J Dermatol,2000,143(5):964-968.
[11] Pirkhammer D,Seeber A,Honigsmann H.Narrow-band UVB (TL-01) phototherapy:an effective preventative treatment for the photodermatoses.Br J Dermatol,1995,132(5):956-963.
[12] Man I,Crombie IK,Dawe RS,et al.The photocarcinogenic risk of narrowband UVB (TL-01) phototherapy:early follow-up data.Br J Dermatol,2005,152(4):755-757.
[13] Mang R,Krutmann J.UVA-1 Phototherapy.Photodermatol Photoimmunol Photomed,2005,21 (2):103-108.
[14] Dawe RS.Ultraviolet A1 phototherapy.Br J Dermatol,2003,148(4):626-637.
[15] Tuchinda C,Kerr HA,Taylor CR,et al.UVA1 phototherapy for cutaneous diseases:an experience of 92 cases in the United States.Photodermatol Photoimmunol Photomed,2006,22(5):247-253.
[16] Feldman SR,Mellen BG,Housman TS,et al.Efficacy of the 308-nm excimer laser for treatment of psoriasis:results of a multicenter study.J Am Acad Dermatol,2002,46(6):900-906.
[17] Hofer A,Hassan AS,Legat FJ,et al.Optimal weekly frequency of 308-nm excimer laser treatment in vitiligo patients.Br J Dermatol,2005,152(5):981-985.
[18] Baltas E,Csoma Z,Bodai L,Ignacz F,Dobozy A,Kemeny L.Treatment of atopic dermatitis with the xenon chloride excimer laser.J Eur Acad Dermatol Venereol,2006,20(6):657-660.
[19] McKenna KE,Whittaker S,Rhodes LE,et al.Evidence-based practice of photopheresis 1987-2001:a report of a workshop of the British Photodermatology Group and the U.K.Skin Lymphoma Group.Br J Dermatol,2006,154(1):7-20.