coconut oil useless on the treatment of UVB
Type:Uv phototherapy Time:2016-09-19 10:32:18George SA1, Bilsland DJ, Wainwright NJ, Ferguson J.
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Abstract
Despite
a widely held belief that the use of emollients prior to broad-band UVB
irradiation accelerates clearance of psoriasis, only one single-blind
controlled study exists in support of this. No similar study has been
carried out with photochemotherapy (PUVA) or narrow-band UVB (311-313
nm) phototherapy. As some emollients absorb UV radiation, and thereby
inhibit psoriasis clearance, there is a need to identify emollients
suitable for pre-irradiation use. Coconut oil may be useful in this
respect. In two randomized groups of patients with chronic plaque
psoriasis undergoing either routine PUVA (n = 14) or narrow-band UVB
phototherapy (n = 15), a single-blind controlled (half-body) study was
undertaken to assess the effect of pre-irradiation application of
coconut oil. Patients were given PUVA twice weekly, or TL-01 therapy
thrice weekly. The initial UV dose was 70% of previously determined
minimal phototoxic (MPD) or minimal erythema doses (MED), with 40%
incremental steps at each visit (reduced if adverse effects occurred).
Psoriasis severity was scored on each side after every three treatments.
No significant acceleration of psoriasis clearance was seen in either
group. We do not, therefore, recommend the routine use of emollients
prior to PUVA or TL-01 therapy when using near erythemogenic irradiation
regimens.
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