PSORIASIS IMPORTANT TABLES

Question 1

CONTRAINDICATIONS FOR PHOTO(CHEMO)THERAPY FOR PSORIASIS (Absolute)

Answer 1

• Genetic disorders characterized by increased photosensitivity or an increased risk of skin cancer (UVB and PUVA)
• High cumulative number of PUVA treatments, i.e. >150–200 individual treatments (PUVA)
• Concurrent treatment with cyclosporine (UVB and PUVA)
• Previous history of skin cancer (UVB and PUVA;
• Pregnancy or lactation

Question 2

what are the conditions in which you would need to adjust the dose and monitor closely phototherapy in psoriastic patients ?

Answer 2

• Skin type I (UVB and PUVA)
• Photosensitive dermatoses (UVB and PUVA)
• Unavoidable phototoxic systemic or topical medications (UVB and PUVA)
• Vitiligo (UVB and PUVA)†

Question 3

what are the other contraindications for phototherapy?

Answer 3

• Previous history of arsenic exposure, ionizing irradiation, or excessive
  photo(chemo)therapy (UVB and PUVA)
• Immunosuppressive medication (UVB and PUVA)
• Atypical melanocytic nevi (UVB and PUVA)
• Seizure disorder (risk of fall/injury; UVB and PUVA)
• Poor compliance (UVB and PUVA)
• Men and women in reproductive years without contraception (PUVA)
• Impaired liver function or hepatotoxic medication (PUVA)
• Cataracts (PUVA)