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Journal of the American Academy of Dermatology
Volume 4, n° 5
pages 584-591 (mai 1981)
Doi : 10.1016/S0190-9622(81)70061-6
Clinical and laboratory study

Long-term modified Goeckerman regimen for psoriasis using an ultraviolet B light source in the home
 

William P. Jordan, M.D. 1, , Alexander M. Clarke, Ph.D. 1, Ron K. Hale 1
Richmond, VA, USA 

*Reprint requests to: Dr. William P. Jordan, Jr., Box 296, Medical College of Virginia, Richmond, VA 23298/804-786-9597.
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An ultraviolet B (UVB) unit for the home was built for each of fifty-six people with extensive psoriasis. This light unit is constructed to deliver the most cost-effective radiation while remaining portable, height-adjustable, and free of the necessity to nail or screw the unit to the wall. Six 40-watt fluorescent sunlamps in an open configuration will deliver 150 to 170 μ watts/cm2 to one half of the body at a distance of 30.5 cm (1 minimal erythema dose [MED] = 1–2 min). Fifty-five patients completed a modified Goeckerman program starting at 1-minute exposures, with weekly increases of light by 1 minute until 6 or 8 weeks of treatment had elapsed. All patients were cleared of psoriasis (scalp not included). Fifty-one patients accomplished the clearance program totally in the home. Over 80% of them remain virtually clear as they have maintained a 6- to 8-minute tar-light program two to five times a week. Thirty-seven subjects have used this home UVB unit for over a year. Our results with the modified Goeckerman treatment of psoriasis in the home show that: (1) only six nonenclosed lamps are needed for the economical clearing and maintenance of many psoriatics, and (2) the initial clearing rate using forty-two to sixty suberythemal treatments is outstanding.

The full text of this article is available in PDF format.

 Presented at the One Hundredth Annual Meeting of the American Dermatological Association on May 26, 1980.

1  From the Department of Dermatology (Dr. Jordan) and the Biomedical Instrumentation Facility of the Department of Biophysics, Medical College of Virginia.

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