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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Phototherapy is a proven treatment for various skin disorders&#44; but it is also effective for preventing certain seasonal photodermatoses through the induction of phototolerance &#40;photohardening&#41;&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Combalia et al&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> describe their experience with the use of fixed-regimen phototherapy to prevent polymorphic light eruption&#46; The protocol consisted of 8 sessions in which the patients received fixed starting and incremental doses&#44; regardless of skin type and the fact that over half of the patients had some degree of photosensitivity&#46; The treatment produced satisfactory results in 87&#37; of cases&#44; although treatment success does not necessarily mean full or lasting tolerance for the whole summer&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Phototherapy is undoubtedly a safe treatment&#46; While short&#44; treatment triggers polymorphic light eruption reactions in a third of patients&#44; but this does not limit treatment or alter prognosis&#44; suggesting that it might be interesting to routinely administer prophylactic oral corticosteroids during the first few sessions&#44; as some of us do with atopic dermatitis&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Phototolerance does not last indefinitely and is lost relatively quickly if the patient does not continue to receive moderate doses of sunlight throughout the summer&#46; While this prevents the health risks associated with tanophobia&#44; it also requires scheduling treatments to end at the beginning of the summer &#40;May or June&#41;&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Although larger series of patients are needed to confirm the results of Combalia et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> studies such as this highlight the need to improve the use of phototherapy in polymorphic light eruption&#44; a condition that frequently affects quality of life and has few real preventive options&#46;</p></span>"
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Commentaries
On the Use of Phototherapy in the Management of Photodermatoses
Sobre el uso de la fototerapia en el manejo de las fotodermatosis
D. de Argila Fernández-Durán
Servicio de Dermatología, Hospital de La Princesa, Madrid, Spain
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