Konservative Therapieverfahren  >  Physikalische Therapie  >  Lichttherapie

 
PUVA-Therapie
 

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Tobias Schäfer
 

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 Indikationen
 

Ekzeme oder Dermatitiden:
PUVA is occasionally used for severe cases of dermatitis. Frequency and dosage of treatment is similar to that used for Psoriasis. However, a course of phototherapy may need to be more prolonged than that generally required for Psoriasis.

Mycosis fungoides
Kutanes Keimzentrumslymphom
Aktinisches Retikuloid
Langerhans-Zell-Histiozytose
Mastozytose

For this rare skin form of cutaneous T-cell lymphoma, PUVA is usually given twice a week at first, using shorter exposures than for Psoriasis. When the skin is clear, treatment is given less frequently. If PUVA is stopped, the condition sometimes relapses.

PMLE, Pityriasis lichenoides, Granuloma anulare, Sarkoidose, Parapsoriasis en plaques, Idiopathische Lichtdermatosen, Phototoxische Dermatitis, Chronisch-kutane / zirkumskripte Sklerodermie, Palmoplantarkeratosen

Vitiligo
Patients with vitiligo have areas of completely white skin. PUVA can bring about some repigmentation, particularly for vitiligo of the face, and in dark-skinned patients.
Results for other body sites and white-skinned patients are less encouraging.
Treatment is usually twice a week for two years. Even then, complete repigmentation cannot be guaranteed and relapse is possible.

 

 

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