A new psoralen-containing gel for topical PUVA therapy: development, and treatment results in patients with palmoplantar and plaque-type psoriasis, and hyperkeratotic eczema

Summary Topical photochemotherapy with psoralen and its derivatives 4.5′,8‐trimethylpsoralen (TMP) and 8‐methoxypsoralen (8‐MOP), with UVA irradiation, was evaluated with regard to minimum phototoxic dose, concentration, timing of UVA irradiation and systemic and local side‐effects, in healthy volun...

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Veröffentlicht in:British journal of dermatology (1951) 1995-06, Vol.132 (6), p.964-969
Hauptverfasser: DE RIE, M.A., VAN EENDENBURG, J.P., VKRSNICK, A.C., STOLK, L.M.L., BOS, J.D., WESTERHOF, W.
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container_end_page 969
container_issue 6
container_start_page 964
container_title British journal of dermatology (1951)
container_volume 132
creator DE RIE, M.A.
VAN EENDENBURG, J.P.
VKRSNICK, A.C.
STOLK, L.M.L.
BOS, J.D.
WESTERHOF, W.
description Summary Topical photochemotherapy with psoralen and its derivatives 4.5′,8‐trimethylpsoralen (TMP) and 8‐methoxypsoralen (8‐MOP), with UVA irradiation, was evaluated with regard to minimum phototoxic dose, concentration, timing of UVA irradiation and systemic and local side‐effects, in healthy volunteers. Psoralen (0.005%) in aqueous gel was found to be superior to TMP and 8‐MOP in aqueous gel. No hyperpigmentation was seen after topical PUVA treatment with psoralen in aqueous gel. Patients with plaque‐type psoriasis (n = 7), palmoplantar psoriasis (n = 7) and hyperkeratotic eczema (n = 2) were treated. Topical PUVA therapy was effective in most psoriasis patients, without the occurrence of local or systemic side‐effects. Moreover, hyperkeratotic eczema patients who did not respond to conventional therapy showed partial remission. These results indicate that topical PUVA therapy with psoralen in aqueous gel is a useful therapeutic modality for treatment of psoriasis patients, and patients with recalcitrant dermatoses such as palmoplantar psoriasis and hyperkeratotic eczema.
doi_str_mv 10.1111/j.1365-2133.1995.tb16956.x
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Psoralen (0.005%) in aqueous gel was found to be superior to TMP and 8‐MOP in aqueous gel. No hyperpigmentation was seen after topical PUVA treatment with psoralen in aqueous gel. Patients with plaque‐type psoriasis (n = 7), palmoplantar psoriasis (n = 7) and hyperkeratotic eczema (n = 2) were treated. Topical PUVA therapy was effective in most psoriasis patients, without the occurrence of local or systemic side‐effects. Moreover, hyperkeratotic eczema patients who did not respond to conventional therapy showed partial remission. These results indicate that topical PUVA therapy with psoralen in aqueous gel is a useful therapeutic modality for treatment of psoriasis patients, and patients with recalcitrant dermatoses such as palmoplantar psoriasis and hyperkeratotic eczema.</description><identifier>ISSN: 0007-0963</identifier><identifier>EISSN: 1365-2133</identifier><identifier>DOI: 10.1111/j.1365-2133.1995.tb16956.x</identifier><identifier>PMID: 7662576</identifier><identifier>CODEN: BJDEAZ</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Biological and medical sciences ; Diseases of the skin. Cosmetics ; Eczema - drug therapy ; Ficusin - administration &amp; dosage ; Gels ; Humans ; Male ; Medical sciences ; Methoxsalen - administration &amp; dosage ; Psoriasis - drug therapy ; PUVA Therapy ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Psoralen (0.005%) in aqueous gel was found to be superior to TMP and 8‐MOP in aqueous gel. No hyperpigmentation was seen after topical PUVA treatment with psoralen in aqueous gel. Patients with plaque‐type psoriasis (n = 7), palmoplantar psoriasis (n = 7) and hyperkeratotic eczema (n = 2) were treated. Topical PUVA therapy was effective in most psoriasis patients, without the occurrence of local or systemic side‐effects. Moreover, hyperkeratotic eczema patients who did not respond to conventional therapy showed partial remission. These results indicate that topical PUVA therapy with psoralen in aqueous gel is a useful therapeutic modality for treatment of psoriasis patients, and patients with recalcitrant dermatoses such as palmoplantar psoriasis and hyperkeratotic eczema.</description><subject>Biological and medical sciences</subject><subject>Diseases of the skin. Cosmetics</subject><subject>Eczema - drug therapy</subject><subject>Ficusin - administration &amp; dosage</subject><subject>Gels</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methoxsalen - administration &amp; dosage</subject><subject>Psoriasis - drug therapy</subject><subject>PUVA Therapy</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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ispartof British journal of dermatology (1951), 1995-06, Vol.132 (6), p.964-969
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subjects Biological and medical sciences
Diseases of the skin. Cosmetics
Eczema - drug therapy
Ficusin - administration & dosage
Gels
Humans
Male
Medical sciences
Methoxsalen - administration & dosage
Psoriasis - drug therapy
PUVA Therapy
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Trioxsalen - administration & dosage
title A new psoralen-containing gel for topical PUVA therapy: development, and treatment results in patients with palmoplantar and plaque-type psoriasis, and hyperkeratotic eczema
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