By Michael D. Zanolli, Steven R. Feldman
A step by step guide of protocols for ultraviolet gentle remedy within the dermatologist's workplace, this booklet presents technical details for UVB, PUVA, outpatient daycare, RePUVA, UVA/UVB blend, hand and foot remedy, scalp remedies, and hydrotherapy. It contains examples of sufferer schooling handouts, consent varieties, laboratory circulate sheets, varieties for insurance firms, and extra. the recent variation covers differences to the normal protocols constructed at Wake wooded area collage scientific heart and the Vanderbilt Phototherapy remedy heart, new sections on laser remedy for psoriasis and vitiligo, and new fabric on localized UVB remedies.
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Additional resources for Phototherapy Treatment Protocols for Psoriasis and other Phototherapy-responsive Dermatoses, Second Edition
10. The list of current medications will be placed in the patient chart and reviewed by the phototherapist. Questions concerning current medications will be addressed by the attending physician. 11. All patients will be asked to apply an emollient such as Aquaphor or Vaseline petroleum to the involved areas at night and leave on overnight. 12. All patients will be told of the possible complications of Goeckerman treatments specifically including: • • • • • • • • folliculitis tar irritation sunburn reaction corneal burn if the eyes are unprotected photoallergic dermatitis (including drug reaction) freckling of the skin aging of the skin possible increase in risk of skin cancers.
All patients undergoing Goeckerman treatments should understand that at least 4 hours a day of tar under occlusion with saran wrap or with occlusive garments will be part of their treatment. 6. All patients with the diagnosis of psoriasis will be told to apply mineral oil to the involved areas of the skin prior to the delivery of UVB at the start of the day’s treatment. 7. Patients are to stand in the center of the light cabinet with arms at rest. A step stool may be used for the patients to stand on when recommended by the physician.
The patient should be given time for questions. 2. Have the patient undress completely. Male patients should wear an athletic supporter unless otherwise directed or permitted by the attending physician. Patients will apply mineral oil on the plaques of psoriasis prior to the delivery of UV light. 3. Eye protection in the form of UV goggles must be worn by all patients when inside the phototherapy unit. 4. The irradiance (mW/cm2) of the UVB light inside the unit should be recorded on a once-a-month basis using the standard method of the manufacturer of the phototherapy unit.
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