comparison of risk for UVB therapy and observed risk in PUVA-treatment

Type:Uv phototherapy   Time:2018-08-26 20:06:36
Risk evaluation of UVB therapy for psoriasis: comparison of calculated risk for UVB therapy and observed risk in 
PUVA-treated patients.
A descriptive dose-response model is presented to evaluate the long-term risk with respect to non-melanoma skin 
cancer associated with UVB therapy. The model is based on the results of animal dose-response studies and 
epidemiological data. A number of factors that influence the risk associated with therapy are evaluated: annual 
dose applied, solar exposure, therapeutic period, age at start of therapy. Shielding from therapeutic exposures of 
the skin areas that normally receive the most sun exposure could effectively reduce the risk. The model 
calculations were compared with observational data, as far as available. The calculated risk corresponded within 
the limits of statistical error with observed long-term risk of UVB therapy in Sweden; as far as there was a 
deviation, the model calculations tended to over-estimate the risk. A comparison of the model prognoses for UVB 
therapy with the observed risk among PUVA-treated patients in the USA shows a much higher observed risk for 
squamous cell carcinoma among the PUVA-treated patients
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