Journal
DERMATOLOGIC CLINICS
Volume 38, Issue 1, Pages 127-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.det.2019.08.013
Keywords
Mycosis fungoides; Cutaneous T-cell lymphoma; Ultraviolet; Phototherapy; Narrowband UVB; Psoralen and ultraviolet A; Psoralen
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Phototherapy with psoralen and ultraviolet A (PUVA) or narrowband-UVB (NBUVB) is frequently used for the patch and plaque stages of mycosis fungoides (MF), the most common type of cutaneous T-cell lymphoma. This article provides practical guidelines for the design and implementation of a phototherapy protocol for early stage MF, including an overview of treatment phases, response criteria, and considerations in the selection of a light source. Several evolving topics in phototherapy research are also discussed, including the relative efficacy of PUVA versus NBUVB, the role of maintenance therapy, risk of photocarcinogenicity, and combination therapies.
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