Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Phototherapy and
Photochemotherapy
Dosing Guidelines
American Academy of Dermatology
DOSING GUIDELINES FOR BROADBAND UVB*,1,4
According to Skin Type:
Skin Type Initial UVB dose UVB Increase After Each Treatment
Type I 20 mJ/cm 2
5 mJ/cm2
Type II 25 mJ/cm2 10 mJ/cm2
Type III 30 mJ/cm 2
15 mJ/cm2
Type IV 40 mJ/cm2 20 mJ/cm2
Type V 50 mJ/cm 2
25 mJ/cm2
Type VI 60 mJ/cm 2
30 mJ/cm2
2
DOSING GUIDELINES FOR NARROWBAND UVB*,#,2,4
According to Skin Type:
Skin Type Initial UVB UVB Increase Maximum
dose After Each Treatment dose
Type I 130 mJ/cm2 15 mJ/cm2 2000 mJ/cm2
Type II 220 mJ/cm2 25 mJ/cm2 2000 mJ/cm2
Type III 260 mJ/cm2 40 mJ/cm2 3000 mJ/cm2
Type IV 330 mJ/cm 2
45 mJ/cm 2
3000 mJ/cm2
Type V 350 mJ/cm 2
60 mJ/cm 2
5000 mJ/cm2
Type VI 400 mJ/cm2 65 mJ/cm2 5000 mJ/cm2
3
DOSING GUIDELINES FOR TARGETED THERAPY3,4
Initial Dose for Psoriasis:
Plaque Induration Fitzpatrick skin type 1-3 Fitzpatrick skin type 4-6
Thickness Score (Dose in mJ/cm2) (Dose in mJ/cm2)
None 0
Mild 1 500 400
Moderate 2 500 600
4
DOSING OF 8-METHOXYPSORALEN FOR ORAL PUVA1,4
Patient Weight:
REFERENCES
1. Adapted with permission from Zanolli MD, Feldman SR. Phototherapy treatment protocols
for psoriasis and other phototherapy responsive dermatoses. 2nd ed. New York: Informa
Healthcare; 2004.
2. A
dapted with permission from Do A, Koo J. Initiating narrow-band UVB for the treatment of
psoriasis: how to do MED skin testing. Psoriasis Forum 2004;10:7-11.
3. XTRAC Treatment Guidelines, 12-95359-01 Rev. A March 2007.
4. M
enter A, Korman NJ, Elmets CA, Feldman SR, Gelfand JM, Gordon KB, Gottlieb A, Koo
JY, Lebwohl M, Lim HW, Van Voorhees AS, Beutner KR, Bhushan R. Guidelines of care
for the management of psoriasis and psoriatic arthritis: Section 5. Guidelines of care for the
treatment of psoriasis with phototherapy and photochemotherapy. J Am Acad Dermatol.
2010 Jan;62(1):114-35.
5
American Academy of Dermatology
Correspondence: PO Box 4014
Schaumburg, Illinois 60168
Toll-free: 866.503.SKIN (7546)
International: 847.240.1280
Fax: 847.240.1859
enter A, Korman NJ, Elmets CA, Feldman SR, Gelfand JM, Gordon
M
KB, Gottlieb A, Koo JY, Lebwohl M, Lim HW, Van Voorhees AS, Beutner
KR, Bhushan R. Guidelines of care for the management of psoriasis
and psoriatic arthritis: Section 5. Guidelines of care for the treatment
of psoriasis with phototherapy and photochemotherapy. J Am Acad
Dermatol. 2010 Jan;62(1):114-35.
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