[The UV record. Document for quality control, therapy planning and risk assessment in dermatologic photo- and photochemotherapy].
Ultraviolet (UV-) radiation therapy as a mono- or combination therapy (UV-A, UV-A1, UV-B, SUP, UV-B311) or as photochemotherapy with photosensitization (systemic PUVA-, bath PUVA-, topical PUVA-therapy) are successfully used for the treatment of several dermatological disorders. Long-term side effects of natural UV (sun light) include photoaging and induction of skin tumors. At present, the relevance of in-vitro findings of potential tumor induction in animals through therapeutic levels of UV radiation is a matter of debate. To assess these risks, information on treated location, kind of UV radiation and cumulative UV doses are required. Practically this information is barely accessible. This makes decisions on possible therapies difficult. To solve this problem we propose to use an "UV pass". At the end of each UV radiation cycle, the body location, the type of radiation and the cumulative dose are documented and this pass is given to the patient. This will improve the information transfer if the doctor is changed, as well as facilitating decisions about certain therapies and calculation of long-term risks of UV radiation. Finally it will improve the quality of UV photo- and photochemotherapy.
Ochsendorf
F R
FR
Zentrum der Dermatologie und Venerologie, Klinikum der J.W. Goethe-Universität, Frankfurt. ochsendorf@em.uni-frankfurt.de
Sachsenberg-Studer
E M
EM
Grundmann-Kollmann
M
M
Podda
M
M
Milbradt
R
R
Krutmann
J
J
Kaufmann
R
R
D004307:Dose-Response Relationship, Radiation; D005858:Germany; D006801:Humans; D008499:Medical Records; D009381:Neoplasms, Radiation-Induced / Q000517:prevention & control; D011701:PUVA Therapy / Q000009:adverse effects*; D010348:Patient Care Team; D010778:Photochemotherapy / Q000009:adverse effects*; D011785:Quality Assurance, Health Care; D011834:Radiation Monitoring; D015595:Skin Aging / Q000528:radiation effects; D012871:Skin Diseases / Q000532:radiotherapy*; D012878:Skin Neoplasms / Q000517:prevention & control; D014466:Ultraviolet Rays / Q000009:adverse effects; D014467:Ultraviolet Therapy / Q000009:adverse effects*