Treatment Response to Phototherapy in Patients with Mycosis Fungoides and Parapsoriasis
Yıl 2019,
Cilt: 5 Sayı: 1, 19 - 25, 01.01.2019
Ebru Celik
,
Gokhan Ucgul
Asena Cigdem Dogramaci
Öz
Background: Early stage mycosis fungoides MF and parapsoriasis are treated by phototherapy techniques. In this study, we aimed to assess treatment responses to narrow-band ultraviolet B NB-UVB and psoralen plus ultraviolet A PUVA therapies in patients with MF and parapsoriasis in a comparative manner. Materials and Methods: We retrospectively reviewed patients with early-stage MF and parapsoriasis who underwent phototherapy in Phototherapy Unit of our clinic between 2008 and 2018. In all groups, data regarding phototherapy were recorded and evaluated statistically. Results: In this study, 127 patients including 46 patients with early-stage MF, 48 patients with small plaque psoriasis and 33 patients with large plaque psoriasis received phototherapy. PUVA therapy session rate was significantly higher in patients with MF while NB-UVB therapy rate was significantly higher in patients with SPP. Number and duration of sessions to achieve complete remission were significantly higher in patients with MF when compared to those with SPP while no significant correlation was found between MF and LPP. In addition, the number and duration of sessions to achieve complete remission were significantly higher in patients with LPP than those with SPP. When patients groups were assessed according to phototherapy type given, it was seen that the complete remission rate was significantly higher in MF patients received PUVA therapy than patients received NB-UVB therapy p
Kaynakça
- Korgavkar K, Xiong M, Weinstock M. Changing incidence trends of cutaneous T-cell lymphoma. JAMA Dermatol ;149(11):1295-9
- Trautinger F, Eder J, Assaf C, Bagot M, Cozzio A, Dummer R, et al. European Organisation for Research and Treatment of Cancer consensus recommendations for the treatment of mycosis fungoides/Sézary syndrome - Update 2017. Eur J Cancer 2017;77:57-74
- McGirt LY. Parapsoriasis (small plaque and large plaque parapsoriasis). Section editor: Zic JA, deputy editor: Corona R. Last updated: 2018. Available from: https:// www.uptodate.com/contents/parapsoriasis-small- plaque-and-large-plaque-parapsoriasis.
- Adısen E, Kundakcı N, Celik E. PUVA Tedavisi. In: Kundakcı N, Ozturk G, eds. Fototerapi Tedavi Klavuzu. Istanbul: Galenos;2018. p. 86-89
- Gonul M, Canpolat F, Ozturk G. Darbant UVB Fototerapisi. In: Kundakcı N, Ozturk G, eds. Fototerapi Tedavi Klavuzu. Istanbul: Galenos;2018. p. 65-72
- Olsen EA, Hodak E, Anderson T, Carter JB, Herderson M, Cooper K, et al. Guidelines for phototherapy of mycosis fungoides and Sezary syndrome: A consensus statement of the United States Cutaneous Lymphoma Consortium. J Am Acad Dermatol 2016;74(1):27-58
- Grandi V, Fava P, Rupoli S, Alberti Violetti S, Canafoqlia L, Quaglino P, et al. Standardization of regimens in Narrowband UVB and PUVA in early stage mycosis fungoides: position paper from the Italian Task Force for Cutaneous Lymphomas. J Eur Acad Venereol 2018;32(5): 691
- Ponte P, Serrão V, Apetato M. Efficacy of narrowband UVB vs. PUVA in patients with early-stage mycosis fungoides. J Eur Acad Dermatol Venereol 2010;24:716-21
- Ahmad K, Rogers S, McNicholas PD, Collins P. Narrowband UVB and PUVA in the treatment of mycosis fungoides: A retrospective study. Acta Derm Venereol ;87:413–7 Diederen PVMM, van Weelden H, Sanders CJG, Toonstra J, van Vloten WA. Narrowband UVB and psoralen-UVA in the treatment of early-stage mycosis fungoides: a retrospective study. J Am Acad Dermatol 2003;48:215-9
- Unal M, Tol H, Balevi S, Unal GU. Mikozis fungoides tedavisinde dbUVB ve PUVA: Retrospektif değerlendirme. Genel Tıp Dergisi 2015;25:89-94
- Ling TC, Clayton TH, Crawley J, Exton LS, Goulden V, Ibbotson S, et al. British Association of Dermatologists and British Photodermatology Group guidelines for the safe and effective use of psoralen-ultraviolet A therapy 2015. Br J Dermatol 2016;174(1):24-55
- Sánchez MA, González T, Gaitán MF, Zuluaga A, Jiménez SB, de Galvis YT. Is PUVA maintenance therapy necessary in patients with early-stage mycosis fungoides? Evaluation of a treatment guideline over a 28-month follow-up. Int J Dermatol 2011;50(9):1086-93
- Hernández Z, Peñate Y, Hernández-Machin B, Pérez- Méndez L, Suárez- Hernández J, Hernández J, et al. Treatment of stage Ia and Ib mycosis fungoides with psoralen UVA monotherapy: an observational study in tertiary hospitals in the Canary Islands. Int J Dermatol ;53(11):1417-22
- Duarte IA, Korkes KL, Amorim VA, Kobata C, Buense R, Lazzarini R. An evaluation of the treatment of para psoriasis with phototherapy. An Bras Dermatol 2013;88 (2):306-8
- Herzinger T, Degitz K, Plewig G, Rocken M. Treatment of small plaque parapsoriasis with narrow-band (311 nm) ultraviolet B: a retrospective study. Clin Exp Dermatol ;30(4):379-81
- Aydogan K, Karadogan SK, Tunali S, Adim SB, Ozcelik T. Narrowband UVB phototherapy for small plaque parapsoriasis. JEADV 2006;20:573-77
Yıl 2019,
Cilt: 5 Sayı: 1, 19 - 25, 01.01.2019
Ebru Celik
,
Gokhan Ucgul
Asena Cigdem Dogramaci
Kaynakça
- Korgavkar K, Xiong M, Weinstock M. Changing incidence trends of cutaneous T-cell lymphoma. JAMA Dermatol ;149(11):1295-9
- Trautinger F, Eder J, Assaf C, Bagot M, Cozzio A, Dummer R, et al. European Organisation for Research and Treatment of Cancer consensus recommendations for the treatment of mycosis fungoides/Sézary syndrome - Update 2017. Eur J Cancer 2017;77:57-74
- McGirt LY. Parapsoriasis (small plaque and large plaque parapsoriasis). Section editor: Zic JA, deputy editor: Corona R. Last updated: 2018. Available from: https:// www.uptodate.com/contents/parapsoriasis-small- plaque-and-large-plaque-parapsoriasis.
- Adısen E, Kundakcı N, Celik E. PUVA Tedavisi. In: Kundakcı N, Ozturk G, eds. Fototerapi Tedavi Klavuzu. Istanbul: Galenos;2018. p. 86-89
- Gonul M, Canpolat F, Ozturk G. Darbant UVB Fototerapisi. In: Kundakcı N, Ozturk G, eds. Fototerapi Tedavi Klavuzu. Istanbul: Galenos;2018. p. 65-72
- Olsen EA, Hodak E, Anderson T, Carter JB, Herderson M, Cooper K, et al. Guidelines for phototherapy of mycosis fungoides and Sezary syndrome: A consensus statement of the United States Cutaneous Lymphoma Consortium. J Am Acad Dermatol 2016;74(1):27-58
- Grandi V, Fava P, Rupoli S, Alberti Violetti S, Canafoqlia L, Quaglino P, et al. Standardization of regimens in Narrowband UVB and PUVA in early stage mycosis fungoides: position paper from the Italian Task Force for Cutaneous Lymphomas. J Eur Acad Venereol 2018;32(5): 691
- Ponte P, Serrão V, Apetato M. Efficacy of narrowband UVB vs. PUVA in patients with early-stage mycosis fungoides. J Eur Acad Dermatol Venereol 2010;24:716-21
- Ahmad K, Rogers S, McNicholas PD, Collins P. Narrowband UVB and PUVA in the treatment of mycosis fungoides: A retrospective study. Acta Derm Venereol ;87:413–7 Diederen PVMM, van Weelden H, Sanders CJG, Toonstra J, van Vloten WA. Narrowband UVB and psoralen-UVA in the treatment of early-stage mycosis fungoides: a retrospective study. J Am Acad Dermatol 2003;48:215-9
- Unal M, Tol H, Balevi S, Unal GU. Mikozis fungoides tedavisinde dbUVB ve PUVA: Retrospektif değerlendirme. Genel Tıp Dergisi 2015;25:89-94
- Ling TC, Clayton TH, Crawley J, Exton LS, Goulden V, Ibbotson S, et al. British Association of Dermatologists and British Photodermatology Group guidelines for the safe and effective use of psoralen-ultraviolet A therapy 2015. Br J Dermatol 2016;174(1):24-55
- Sánchez MA, González T, Gaitán MF, Zuluaga A, Jiménez SB, de Galvis YT. Is PUVA maintenance therapy necessary in patients with early-stage mycosis fungoides? Evaluation of a treatment guideline over a 28-month follow-up. Int J Dermatol 2011;50(9):1086-93
- Hernández Z, Peñate Y, Hernández-Machin B, Pérez- Méndez L, Suárez- Hernández J, Hernández J, et al. Treatment of stage Ia and Ib mycosis fungoides with psoralen UVA monotherapy: an observational study in tertiary hospitals in the Canary Islands. Int J Dermatol ;53(11):1417-22
- Duarte IA, Korkes KL, Amorim VA, Kobata C, Buense R, Lazzarini R. An evaluation of the treatment of para psoriasis with phototherapy. An Bras Dermatol 2013;88 (2):306-8
- Herzinger T, Degitz K, Plewig G, Rocken M. Treatment of small plaque parapsoriasis with narrow-band (311 nm) ultraviolet B: a retrospective study. Clin Exp Dermatol ;30(4):379-81
- Aydogan K, Karadogan SK, Tunali S, Adim SB, Ozcelik T. Narrowband UVB phototherapy for small plaque parapsoriasis. JEADV 2006;20:573-77