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Light therapy using UltraViolet B rays (UVB) has been
known to be beneficial. UVB is used by physicians in
prescription light boxes. It is not the same as the UVA light
used at tanning salons. The difference between UVB and UVA is
the length of the light wave.
UVA is the light used in PUVA therapy in combination with
psoralen. A medication is administered, either orally,
topically, or the patient is soaked in a diluted solution of
the medication prior to exposure to the light therapy. This
increases photosensitivity.
A physician should monitor both types of light therapy. In
some parts of the world, total exposure is monitored to reduce
the risk of skin cancer.
Current thinking is that UVA light therapy used in combination
with a psoralen (an oral medication) is the preferred method (PUVA).
The UV dosage is administered in the doctor's office and
carefully monitored for the amount of exposure. There is a
limit on the total exposure time that can be administered.
Protective glasses must be worn to reduce the risk of
cataracts, and skin cancer is a potential risk. The psoriasis
tends to return when discontinued. The cost: $30 to $50 per
session. Patients may need 3 to 5 sessions per week.
There are some questions about long term use of UV therapy and
the possibility of increasing the users potential of skin
cancer.
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