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Review of home phototherapy.

Rajpara AN1, O'Neill JL, Nolan BV, Yentzer BA, Feldman SR.

Author information

Abstract

BACKGROUND:

Outpatient phototherapy is a safe, effective, and low-cost treatment modality for moderate to severe psoriasis. Barriers to 

outpatient phototherapy including patient inconvenience, patient co-pays, decreased physician compensation, and insurance 

disincentive structures have led to decreased use and underutilization of phototherapy. Home phototherapy can potentially 

overcome many of the barriers associated with outpatient treatment but is not widely used because of concerns over safety and 

efficacy, lack of resident and physician education, and lack of insurance coverage.

PURPOSE:

The purpose of this study is to review the use of phototherapy with emphasis on the safety, efficacy, and practical use of 

home phototherapy.

METHODS:

A comprehensive Pubmed literature search was done using the keywords NB-UVB, narrowband UVB, BB-UVB, broadband UVB, PUVA, 

psoralen and UVA, UVA, history of phototherapy, mechanism of phototherapy, phototherapy in dermatology, home phototherapy, 

and phototherapy for psoriasis. All relevant articles were reviewed.

CONCLUSIONS:

Home NB-UVB phototherapy can be as safe, effective, and cost-effective as outpatient phototherapy. Further, home UVB is more 

convenient for patients, has higher patient satisfaction, and a lower treatment burden compared to outpatient phototherapy. 

Home NB-UVB should be considered as a treatment option for patients eligible for phototherapy.

www.kerneluvb.com----The leader manufacturer of UV Phototherapy.