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Giornale Italiano di Dermatologia e Venereologia 2019 April;154(2):99-105

DOI: 10.23736/S0392-0488.18.06223-5


lingua: Inglese

Tuscan consensus on the use of UVBnb phototherapy in the treatment of psoriasis

Filomena RUSSO 1 , Martina VISPI 2, Riccardo SIRNA 2, Virginia MANCINI 3, Giovanni BAGNONI 4, Laura BARTOLI 5, Mauro BELLINI 6, Luca BRANDINI 7, Marzia CAPRONI 8, Antonio CASTELLI 9, Roberto CECCHI 5, Aldo CUCCIA 9, Michele FIMIANI 1, Marta GRAZZINI 10, Franco MARSILI 11, Carlo MAZZATENTA 10, Maria C. NICCOLI 12, Salvatore PANDURI 13, Camilla PECCIANTI 2, Silvia PECENCO 4, Nicola PIMPINELLI 14, Francesca PRIGNANO 14, Federica RICCERI 14, Marco ROMANELLI 13, Susanna ROSSARI 11, Franca TAVITI 12, Walter VOLPI 8, Michele PELLEGRINO 1

1 Section of Dermatology, Department of Clinical Medicine and Immunological Science, University of Siena, Siena, Italy; 2 Section of Dermatology, Department of Dermatology, Misericordia Hospital, Grosseto, Italy; 3 Section of Pathology, Department of Medical Biotechnology, University of Siena, Siena, Italy; 4 Unit of Dermatology, Livorno Hospital, Livorno, Italy; 5 Unit of Dermatology, San Jacopo Hospital, Pistoia, Italy; 6 Unit of Dermatology, Carrara Hospital, Carrara, Italy; 7 Unit of Dermatology, San Giuseppe Hospital, Empoli, Italy; 8 Unit of Dermatologic Rare Disease and Skin Immunopathology, Department of Dermatology, University of Florence, Florence, Italy; 9 Unit of Dermatology, San Donato Hospital, Arezzo, Italy; 10 Unit of Dermatology, Campo di Marte Hospital, Lucca, Italy; 11 Unit of Dermatology, Versilia Hospital, Lido di Camaiore, Lucca, Italy; 12 Unit of Dermatology, Prato Hospital, Prato, Italy; 13 Department of Dermatology, University of Pisa, Pisa, Italy; 14 Department of Surgery and Translational Medicine, Dermatology Clinic, University of Florence, Florence, Italy

Psoriasis (PSO) is traditionally defined as an immune-mediated, inflammatory dermatological disease characterized by a chronic-relapsing course and associated with multifactorial inheritance (genetic predisposition and influence of various environmental factors). Considered until recently a dermatological disease only, today PSO is correctly known as a systemic one because of the involvement of multiple organs with important impact on social life and relationships. PSO is found in the 0.3-4.6% of the world’s population, while its prevalence in the Italian population is estimated at 2.8%. Therefore, if we consider that in Tuscany more than 100,000 people out of 3,672,202 suffer of psoriasis, it is of paramount importance to focus on a shared clinical and therapeutic protocol to manage the disease. With the aim of ensuring diagnostic-therapeutic suitability, high levels of care and standardization of treatment, a unique clinical-therapeutic management model has been developed and validated in Tuscany, involving all accredited regional dermatological centers. Among the possible alternatives to be implemented in the treatment of patients with mild, moderate-severe psoriasis, UVBnb phototherapy is widely used alone or in association with other systemic and non-systemic devices. Despite this, there is still no universally shared therapeutic protocol. In this context the CO.FO.TO working group (Consensus Fototerapia Toscana) is born with the aim of defining and validating the main guidelines in the use of phototherapy with UVBnb in psoriasis; the guidelines are based both on the real-life experience of the different centers of reference in the region and on the revision of the recent literature.

KEY WORDS: Psoriasis - Phototherapy - Narrow band imaging - Administration, topical

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