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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Estadísticas

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,

Autor para correspondencia

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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Información del artículo

ISSN: 15782190
Idioma original: Inglés

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

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