Dr. Jerry Bagel
Have you ever wondered
how light therapy can help psoriasis patients? Phototherapy involves exposing
the skin to ultraviolet light on a regular basis. It is one of the most
effective and safest treatments for patients with moderate to severe psoriasis.
Essentially, the skin,
or epidermis, of a psoriasis patient grows too quickly. A normal epidermis
takes 28 days to grow. For those with psoriasis, it takes only four days.
Narrowband ultraviolet B
(UVB) rays at 311 nanometers is the wave length of a UVB ray that maximizes the
benefit and reduces the risk of skin cancer in the treatment of psoriasis.
Narrowband UVB decreases the growth rate of the epidermis allowing the skin to
become normal. Also, narrowband UVB rays decrease the proliferation
of T cells (immune cells) in the dermis, which is elevated in psoriatic
skin and is one of the causes of the increased growth rate of the epidermis.
While light is
beneficial for psoriasis, don’t assume that the lamps of a tanning bed and the
phototherapy provided at a medical dermatologist’s office are the same thing.
Tanning beds utilize
ultraviolet A (UVA) light. UVA wave lengths do not decrease the growth
rate of the epidermis. UVA rays promote tanning, but has very little
therapeutic efficacy in the treatment of psoriasis.
The National Psoriasis Foundation does not support the use of tanning beds as a
treatment option for psoriasis. The American Academy of Dermatology, the FDA
and the Centers for Disease Control and Prevention all discourage the use of
tanning beds and sun lamps. The ultraviolet radiation from these devices can
damage the skin, cause premature aging and increase the risk of skin cancer.
While phototherapy is an
effective therapy and can keep people clear for six months or more, it only
works 70% of the time. In other instances it may be more beneficial to speak
with your dermatologist about biologic therapy.
Windsor Dermatology is
the home of the Psoriasis Treatment Center of Central New Jersey, the state’s first complete facility for
advanced psoriasis clinical research. Call us at (609) 443-4500 to schedule an
appointment to find out more about treatment options to reduce your psoriasis
symptoms.
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