Narrowband UVB phototherapy for early-stage mycosis fungoides - 01/09/11
Abstract |
Background: Narrowband UVB (NB-UVB) phototherapy has been shown to be effective for the treatment of various dermatoses. Objective: We evaluated the effect of NB-UVB in the treatment of early stage mycosis fungoides (MF). Methods: The response of 24 patients (12 stage IA, 12 stage IB) with patch stage MF to thrice weekly NB-UVB was assessed. Twelve patients had skin phototypes I-III, and 12 had types IV-VI. Seven patients had hypopigmented MF. Mean follow-up period was 29.0 weeks. Results: Thirteen patients (54.2%) had a complete response (CR), 7 (29.2%) had partial response (PR), and 4 (16.7%) had no response. Specimens from a repeat biopsy in 10 patients with CR showed histologic clearing in 9 of them. Upon discontinuation of treatment, 4 patients with CR relapsed, with a mean time to relapse of 12.5 weeks. Conclusion: NB-UVB is a viable, comparably safe, and easily administered alternative in the management of early stage MF. (J Am Acad Dermatol 2002;47:191-7).
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Conflict of interest: None identified. |
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Dr Scherschun was supported by the Clarence S. Livingood Lectureship and Education Fund as the Clarence S. Livingood Clinical Research fellow at the time of this study. |
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Reprint requests: Henry W. Lim, MD, Department of Dermatology, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI 48202-2689. |
Vol 47 - N° 2
P. 191-197 - août 2002 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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