Narrowband UV-B, Monochromatic Excimer Laser, and Photodynamic Therapy in Psoriasis: A Consensus Statement of the Spanish Psoriasis Group

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Puig" "autores" => array:10 [ 0 => array:4 [ "nombre" => "J.M." "apellidos" => "Carrascosa" "email" => array:1 [ 0 => "jmcarrascosac@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "¿" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J.L." "apellidos" => "López-Estebaranz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "G." "apellidos" => "Carretero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "E." "apellidos" => "Daudén" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "d" "identificador" => "aff0020" ] ] ] 4 => array:3 [ "nombre" => "C." "apellidos" => "Ferrándiz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "D." 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"apellidos" => "Puig" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "h" "identificador" => "aff0040" ] ] ] 9 => array:1 [ "colaborador" => "Psoriasis Group of the Spanish Academy of Dermatology and Venereology" ] ] "afiliaciones" => array:8 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona (UAB), Badalona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Fundación de Alcorcón, Alcorcón, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Unidad de Dermatología, Hospital General Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Universitario de La Princesa, Madrid, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Sant Joan Despí Moisés Broggi, Sant Joan Despí, Barcelona, Spain" "etiqueta" => "e" "identificador" => "aff0025" ] 5 => array:3 [ "entidad" => "Sección de Dermatología, Hospital General Universitario de Alicante, Alicante, Spain" "etiqueta" => "f" "identificador" => "aff0030" ] 6 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Universitario Sagrado Corazón, Barcelona, Spain" "etiqueta" => "g" "identificador" => "aff0035" ] 7 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Universidad Autónoma de Barcelona, Barcelona, Spain" "etiqueta" => "h" "identificador" => "aff0040" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Documento de consenso de fototerapia en psoriasis del Grupo Español de Psoriasis: ultravioleta B de banda estrecha (UVBBE), láser y fuentes monocromáticas de excímeros y terapia fotodinámica" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec84872" "palabras" => array:5 [ 0 => "Phototherapy" 1 => "Narrowband UV-B" 2 => "Psoriasis" 3 => "Photodynamic therapy" 4 => "Excimer laser" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84873" "palabras" => array:5 [ 0 => "Fototerapia" 1 => "HUBE" 2 => "Psoriasis" 3 => "Terapia fotodinámica" 4 => "Excímero" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "Novel treatment strategies and new information concerning the management of moderate to severe psoriasis justify a reassessment of the role of the classic therapies in this setting. This consensus statement evaluates narrowband UV-B therapy, which is currently considered the phototherapy option of choice in psoriasis because of its risk-to-benefit ratio. The role of excimer laser and photodynamic therapies are also discussed. These targeted therapies are still only available in a small number of centers in Spain and are used principally in the treatment of localized and recalcitrant forms of psoriasis. We discuss the efficacy and safety of phototherapy as well as treatment regimens, combination therapy, and clinical considerations relating to the characteristics of the patient or the disease." ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "Los nuevos conocimientos y estrategias terapéuticas y de manejo de la psoriasis moderada y grave justifican la reevaluación del papel de los tratamientos clásicos en el manejo de estas formas de la enfermedad. En el presente documento se lleva a cabo la evaluación de la terapia ultravioleta B de banda estrecha (UVBBE) considerada en la actualidad, por su relación entre riesgo y beneficio, como la de primera elección en la fototerapia de la psoriasis. Por otra parte, se ha revisado y evaluado la terapia con sistemas y láseres de excímeros y la terapia fotodinámica en la psoriasis. El uso de estas terapias localizadas, aún limitado a pocos centros a escala nacional, constituye una alternativa terapéutica fundamentalmente en formas limitadas y recalcitrantes de psoriasis. En el siguiente documento se evalúan el perfil de eficacia, la seguridad, los esquemas terapéuticos, el tratamiento combinado y diversas consideraciones clínicas en función del perfil del paciente o de las características de la enfermedad." ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:95 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Guias españolas basadas en la evidencia sobre el tratamiento de la psoriasis moderada a grave con fármacos biológicos" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "L. Puig" 1 => "J.M. Carrascosa" 2 => "E. Dauden" 3 => "J.L. Sanchez-Carazo" 4 => "C. 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Consensus Statement

Narrowband UV-B, Monochromatic Excimer Laser, and Photodynamic Therapy in Psoriasis: A Consensus Statement of the Spanish Psoriasis Group

Documento de consenso de fototerapia en psoriasis del Grupo Español de Psoriasis: ultravioleta B de banda estrecha (UVBBE), láser y fuentes monocromáticas de excímeros y terapia fotodinámica

J.M. Carrascosaa,

Corresponding author

jmcarrascosac@hotmail.com

Corresponding author.

, J.L. López-Estebaranzb, G. Carreteroc, E. Daudénd, C. Ferrándiza, D. Vidale, I. Belinchónf, M. Sánchez-Regañag, L. Puigh, Psoriasis Group of the Spanish Academy of Dermatology and Venereology

a Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona (UAB), Badalona, Spain

b Servicio de Dermatología, Hospital Fundación de Alcorcón, Alcorcón, Madrid, Spain

c Unidad de Dermatología, Hospital General Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain

d Servicio de Dermatología, Hospital Universitario de La Princesa, Madrid, Spain

e Servicio de Dermatología, Hospital Sant Joan Despí Moisés Broggi, Sant Joan Despí, Barcelona, Spain

f Sección de Dermatología, Hospital General Universitario de Alicante, Alicante, Spain

g Servicio de Dermatología, Hospital Universitario Sagrado Corazón, Barcelona, Spain

h Servicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Universidad Autónoma de Barcelona, Barcelona, Spain

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        "titulo" => "Abstract"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Novel treatment strategies and new information concerning the management of moderate to severe psoriasis justify a reassessment of the role of the classic therapies in this setting&#46; This consensus statement evaluates narrowband UV-B therapy&#44; which is currently considered the phototherapy option of choice in psoriasis because of its risk-to-benefit ratio&#46; The role of excimer laser and photodynamic therapies are also discussed&#46; These targeted therapies are still only available in a small number of centers in Spain and are used principally in the treatment of localized and recalcitrant forms of psoriasis&#46; We discuss the efficacy and safety of phototherapy as well as treatment regimens&#44; combination therapy&#44; and clinical considerations relating to the characteristics of the patient or the disease&#46;</p>"
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Los nuevos conocimientos y estrategias terap&#233;uticas y de manejo de la psoriasis moderada y grave justifican la reevaluaci&#243;n del papel de los tratamientos cl&#225;sicos en el manejo de estas formas de la enfermedad&#46; En el presente documento se lleva a cabo la evaluaci&#243;n de la terapia ultravioleta B de banda estrecha &#40;UVBBE&#41; considerada en la actualidad&#44; por su relaci&#243;n entre riesgo y beneficio&#44; como la de primera elecci&#243;n en la fototerapia de la psoriasis&#46; Por otra parte&#44; se ha revisado y evaluado la terapia con sistemas y l&#225;seres de exc&#237;meros y la terapia fotodin&#225;mica en la psoriasis&#46; El uso de estas terapias localizadas&#44; a&#250;n limitado a pocos centros a escala nacional&#44; constituye una alternativa terap&#233;utica fundamentalmente en formas limitadas y recalcitrantes de psoriasis&#46; En el siguiente documento se eval&#250;an el perfil de eficacia&#44; la seguridad&#44; los esquemas terap&#233;uticos&#44; el tratamiento combinado y diversas consideraciones cl&#237;nicas en funci&#243;n del perfil del paciente o de las caracter&#237;sticas de la enfermedad&#46;</p>"
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Article information

ISSN: 15782190
Original language: English

DOI:10.1016/S1578-2190(11)70782-X

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2024 November	6	14	20
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2023 August	30	12	42
2023 July	75	52	127
2023 June	67	33	100
2023 May	33	42	75
2023 April	35	29	64
2023 March	35	32	67
2023 February	33	27	60
2023 January	38	32	70
2022 December	32	57	89
2022 November	17	36	53
2022 October	21	32	53
2022 September	15	25	40
2022 August	31	37	68
2022 July	44	35	79
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2022 May	27	37	64
2022 April	43	34	77
2022 March	47	52	99
2022 February	37	39	76
2022 January	32	45	77
2021 December	25	56	81
2021 November	36	61	97
2021 October	37	57	94
2021 September	26	66	92
2021 August	21	31	52
2021 July	32	63	95
2021 June	31	82	113
2021 May	19	48	67
2021 April	63	85	148
2021 March	42	41	83
2021 February	26	37	63
2021 January	28	20	48
2020 December	39	16	55
2020 November	20	30	50
2020 October	28	10	38
2020 September	36	14	50
2020 August	26	23	49
2020 July	18	15	33
2020 June	27	26	53
2020 May	16	25	41
2020 April	24	11	35
2020 March	34	21	55
2020 February	3	3	6
2020 January	0	7	7
2019 December	0	9	9
2019 November	0	7	7
2019 October	0	8	8
2019 September	0	11	11
2019 August	0	7	7
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2019 June	0	15	15
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2017 September	17	3	20
2017 August	25	13	38
2017 July	19	2	21
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2017 May	26	19	45
2017 April	29	25	54
2017 March	41	7	48
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2016 September	30	10	40
2016 August	36	11	47
2016 July	22	11	33
2016 June	7	10	17
2016 May	8	36	44
2016 April	5	9	14
2016 March	3	1	4
2016 February	7	8	15
2016 January	13	8	21
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2015 September	7	4	11
2015 August	9	2	11
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2015 June	21	2	23
2015 May	74	15	89
2015 April	41	11	52
2015 March	29	7	36
2015 February	36	5	41
2015 January	33	5	38
2014 December	19	15	34
2014 November	27	13	40
2014 October	35	11	46
2014 September	35	13	48
2014 August	37	17	54
2014 July	49	16	65
2014 June	42	18	60
2014 May	42	30	72
2014 April	29	12	41
2014 March	45	19	64
2014 February	29	21	50
2014 January	29	17	46
2013 December	42	13	55
2013 November	28	19	47
2013 October	30	15	45
2013 September	29	26	55
2013 August	26	34	60
2013 July	46	29	75
2013 June	37	45	82
2013 May	36	40	76
2013 April	33	27	60
2013 March	7	14	21
2013 February	5	6	11

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