title: Guidelines of care for the management of psoriasis and psoriatic arthritis: Section 5. Guidelines of care for the treatment of psoriasis with phototherapy and photochemotherapy.
abstract: Psoriasis is a common, chronic, inflammatory, multisystem disease with predominantly skin and joint manifestations affecting approximately 2% of the population. In this fifth of 6 sections of the guidelines of care for psoriasis, we discuss the use of ultraviolet (UV) light therapy for the treatment of patients with psoriasis. Treatment should be tailored to meet individual patients' needs. We will discuss in detail the efficacy and safety as well as offer recommendations for the use of phototherapy, including narrowband and broadband UVB and photochemotherapy using psoralen plus UVA, alone and in combination with topical and systemic agents. We will also discuss the available data for the use of the excimer laser in the targeted treatment of psoriasis. Finally, where available, we will summarize the available data that compare the safety and efficacy of the different forms of UV light therapy.
authors.affiliation: Psoriasis Research Center, Baylor University Medical Center, Dallas, Texas.
authors.forename: Alan
authors.initials: A
authors.lastname: Menter
authors.affiliation: Murdough Family Center for Psoriasis, Department of Dermatology, University Hospitals Case Medical Center, Cleveland, Ohio.
authors.forename: Neil J
authors.initials: NJ
authors.lastname: Korman
authors.affiliation: Department of Dermatology, University of Alabama at Birmingham, Birmingham, Alabama.
authors.forename: Craig A
authors.initials: CA
authors.lastname: Elmets
authors.affiliation: Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, North Carolina.
authors.forename: Steven R
authors.initials: SR
authors.lastname: Feldman
authors.affiliation: Department of Dermatology and Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Joel M
authors.initials: JM
authors.lastname: Gelfand
authors.affiliation: Division of Dermatology, Evanston Northwestern Healthcare and Department of Dermatology, Northwestern University, Fienberg School of Medicine, Chicago, Illinois.
authors.forename: Kenneth B
authors.initials: KB
authors.lastname: Gordon
authors.affiliation: Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts.
authors.forename: Alice
authors.initials: A
authors.lastname: Gottlieb
authors.affiliation: Department of Dermatology, University of California-San Francisco, San Francisco, California.
authors.forename: John Y M
authors.initials: JYM
authors.lastname: Koo
authors.affiliation: Department of Dermatology, Mount Sinai School of Medicine, New York, New York.
authors.forename: Mark
authors.initials: M
authors.lastname: Lebwohl
authors.affiliation: Department of Dermatology, Henry Ford Hospital, Detroit, Michigan.
authors.forename: Henry W
authors.initials: HW
authors.lastname: Lim
authors.affiliation: Department of Dermatology, University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Abby S
authors.initials: AS
authors.lastname: Van Voorhees
authors.affiliation: Anacor Pharmaceuticals, Inc, Palo Alto, California; Department of Dermatology, University of California San Francisco, San Francisco, California.
authors.forename: Karl R
authors.initials: KR
authors.lastname: Beutner
authors.affiliation: American Academy of Dermatology, Schaumburg, Illinois. Electronic address: rbhushan@aad.org.
authors.forename: Reva
authors.initials: R
authors.lastname: Bhushan
mesh_terms: D000328:Adult; D015535:Arthritis, Psoriatic / Q000628:therapy*; D002648:Child; D005260:Female; D006801:Humans; D015603:Keratinocytes / Q000473:pathology; D011701:PUVA Therapy; D010778:Photochemotherapy; D010789:Phototherapy / Q000009:adverse effects / Q000379:methods; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy; D011565:Psoriasis / Q000188:drug therapy / Q000628:therapy*