Phototherapy uses lightwaves to treat certain skin conditions. The skin is exposed to an ultraviolet (UV) light for a set amount of time. Phototherapy uses a man-made source of UV light. UV light also comes from the sun. When combined with a medication called psoralen, the procedure is known as psoralen UVA (PUVA).
UV light shuts down immune system cells in the skin. It can help in skin conditions that are caused by an overreaction of the immune system. Skin conditions that are treated with phototherapy include:
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The UV lights may negatively affect your skin in a number of ways, including:
PUVA treatment may also cause:
If you have received a great number of phototherapy treatments, you may be at risk for:
Factors that may increase the risk of complications include:
You will be asked to remove any clothes that cover the skin being treated. Areas that do not need treatment should be covered and protected as much as possible. Some safety steps include:
Make sure to inform your doctor about any medication that you are currently taking. Some medications, including over-the-counter medication, can increase the risk of side effects.
Types of phototherapy include:
Treatment over a large area may be treated in a treatment unit. You can stand in this unit during treatment. Smaller areas may be treated with smaller units. A laser treatment will use a laser light that is focused on the specific area.
The first treatment is usually very short, even a few seconds. Your phototherapy sessions will vary in length. It will depend on your skin type and the strength of the light chosen by your doctor. Treatments rarely last longer than a few minutes.
Generally, several treatments are required each week. The length of treatment will depend on the type of phototherapy:
Treatments will continue until your skin is clear. Sometimes, occasional maintenance treatments are needed. The maintenance sessions can usually be done in your doctor’s office or with a home UV light unit.
You may feel a warm sensation on your skin, similar to a mild sunburn. Your doctor can recommend medication if you have discomfort after treatment.
It is important to avoid natural sunlight when you are receiving UV light treatment:
Your doctor should regularly examine your skin for skin cancer. UV light exposure from sunlight causes skin cancer. Long-term PUVA treatment can also increase the risk of skin cancer. No studies have found a direct link from nbUVB phototherapy to skin cancer.
It is important to monitor your recovery. Alert your doctor to any problems. If any of the following occur, call your doctor:
If you think you have an emergency, call for medical help right away.
American Academy of Dermatology
National Psoriasis Foundation
Gambichler T, Breuckmann F, et al. Narrowband UVB phototherapy in skin conditions beyond psoriasis. J Am Acad Dermatol. 2005;52(4):660-670.
Muekusch G, Pitman J, et al. Photoresponsive diseases. Dermatol Nurs. 2007;19(1):43-47.
Phototherapy. National Psoriasis Foundation website. Available at: http://www.psoriasis.org/about-psoriasis/treatments/phototherapy. Accessed November 21, 2013.
Phototherapy: UVB. American Osteopathic College of Dermatology website. Available at: http://www.aocd.org/?page=PhototherapyUVB. Accessed November 21, 2013.
Psoriasis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated November 14, 2013. Accessed November 21, 2013.
UVA Photo(chemo) therapy. Derm Net AZ website. Available at: http://www.dermnetnz.org/doctors/phototherapy/uva.html. Accessed November 21, 2013.
What happened to phototherapy? American Academy of Dermatology website. Available at: https://www.aad.org/dw/monthly/2012/psoriasis/what-happened-to-phototherapy. Accessed November 21, 2013.
Last reviewed December 2014 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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