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Published 3 June 2009, doi:10.1136/bmj.b2213
Cite this as: BMJ 2009;338:b2213
| The first 150 words of the full text of this article appear below. |
Koek and colleagues study should encourage others to implement supervised home ultraviolet B (UVB) phototherapy for psoriasis and other conditions.1 We reported pilot studies of home phototherapy using narrowband UVB, which is more effective for psoriasis than broadband UVB.2 3
We now have over 10 years experience of home phototherapy, with 16 home phototherapy units in almost constant use. We use a hub and spoke model for providing phototherapy and other dermatology outpatient services.4 Our service includes three separate peripheral hospital phototherapy units and a central unit in Dundee, but home phototherapy still has a place. In 2008, 25 of the 818 (3%) courses of whole body narrowband UVB administered by our service were for home phototherapy. Most home phototherapy courses in our area are for psoriasis (155 of the previous 216 (72%)). However, with appropriate supervision, home narrowband UVB phototherapy is also useful for atopic eczema, desensitisation treatment of photodermatoses
Heather Cameron, associate specialist in dermatology1, Robert Dawe, consultant dermatologist1
1 Photobiology Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY
h.cameron@dundee.ac.uk