308-nm excimer laser in psoriasis vulgaris, scalp psoriasis, and palmoplantar psoriasis.
BACKGROUND
The 308-nm excimer laser is a recent development in the treatment of psoriasis vulgaris, palmoplantar psoriasis, and psoriasis of the scalp. The XeCl excimer emits a 308-nm wavelength beam of light that is monochromatic and coherent. These properties allow selectivity when used as phototherapy against a psoriatic lesion while sparing healthy surrounding tissue.


OBJECTIVE
In this manuscript, we review recent updates on the efficacy of excimer and its most recent trials in psoriasis.


METHODS
A review of the medical literature in Pubmed database was performed using the terms 'psoriasis' and '308 nm excimer laser'. All trials to date that studied the 308-nm excimer including those that compared the excimer with other modalities were included.


RESULTS
Eighteen trials show positive results surrounding the efficacy of the excimer. Selectivity of the 308-nm excimer, when compared with non-selective narrowband UVB (NB-UVB) phototherapy allows one to adjust the fluency to the lesion. The excimer may also stand superior to NB-UVB in its efficacy of mechanism.


CONCLUSIONS
Excimer is a useful and effective treatment for psoriasis that may be used as a compliment to topical medications as well as NB-UVB. However, large randomized trials with long-term follow-up are needed to further support this.
Gattu
S
S
University of California, Irvine, CA, USA.
Rashid
R M
RM
Wu
J J
JJ
D005528:Foot / Q000473:pathology*; D006225:Hand / Q000473:pathology*; D006801:Humans; D054018:Lasers, Excimer; D011565:Psoriasis / Q000628:therapy*; D012535:Scalp / Q000473:pathology*; D014466:Ultraviolet Rays