Caracterización de pacientes usuarios de fototerapia en el Servicio de Dermatología, Hospital Hernán Henríquez Aravena (Septiembre 2021-Marzo 2023)

Authors

  • Fiorella Natalia Bertolotto Leoneli Interna de Medicina, Universidad de la Frontera, Temuco, Chile.
  • Nicole López Interna de Medicina, Universidad de la Frontera, Temuco, Chile.
  • Ana Henríquez Interna de Medicina, Universidad de la Frontera, Temuco, Chile.
  • Nicole Montecinos Enfermera, Servicio de fototerapia Dermatología, Hospital Hernán Henríquez Aravena, Temuco, Chile.
  • Gastón Briceño Dermatólogo, Hospital Hernán Henríquez Aravena, Temuco, Chile.

Keywords:

Fototerapia, Terapia PUVA, Terapia Ultravioleta×

Abstract

Background:Phototherapy is a useful therapeutic method in the management of various dermatological pathologies. It uses UV radiation with different wavelengths, classified as UVA, UVB and narrowband UVB. The emitted UV radiation is absorbed in the epidermis and dermis by the skin's chromophores, being a therapy with immunosuppressive and antiproliferative properties. Currently, the use of phototherapy extends to various pathologies such as moderate-severe psoriasis, vitiligo, severe atopic dermatitis, alopecia areata, and even tumor pathology, such as mycosis fungoides. Aim: To characterize the patients using phototherapy in the Dermatology Service of the Hernán Henríquez Aravena Hospital (HHHA). Method: Descriptive, retrospective and observational study. Review of data from 101 patients admitted to Phototherapy at the Dermatology Service, HHHA, between the periods of September 2021 and March 2023. Results: Of the total number of patients, 55% were men and 45% women. The average admission age was 44 years old. Pathologies on admission included vitiligo (38 cases, 36.9%), psoriasis (36 cases, 35%), mycosis fungoides (12 cases, 12%), and atopic dermatitis (5 cases, 4.8%). Other diagnoses highlighted pityriasis lichenoides chronica, prurigo nodularis, granuloma annulare, and cutaneous mastocytosis, with a total of 10 cases, 10% of the total. Regarding the type of therapy used, 90% had an indication for UVB, while the remaining 10% received PUVA. Discussion: The local epidemiological characteristics do not differ from those described in the literature. The information provided is useful for further research on adherence and benefits of phototherapy. 

References

Vangipuram R, Feldman SR. Ultraviolet phototherapy for cutaneous diseases: a concise review. Oral Dis. 2016;22(4):253–9. DOI: 10.1111/odi.12366 Disponible:https://pubmed.ncbi.nlm.nih.gov/26464123/

Matos TR, Sheth V. The symbiosis of phototherapy and photoimmunology. Clin Dermatol. 2016;34:538-47. DOI: 10.1016/j.clindermatol.2016.05.003.Disponible:https://pubmed.ncbi.nlm.nih.gov/27638431/

Barros NM, Sbroglio LL, Buffara MO, Baka JLCES, Pessoa AS, Azulay-Abulafia L. Phototherapy. An Bras Dermatol. 2021 Jul-Aug;96(4):397-407.DOI:10.1016/j.abd.2021.03.001. Epub 2021 Apr 2. PMID: 33849754; PMCID: PMC8245715. Disponible:https://pubmed.ncbi.nlm.nih.gov/33849754/

Stern RS. Psoralen and ultraviolet light therapy for psoriasis. N Engl J Med. 2007 Aug 16;357(7):682-90. DOI: 10.1056/NEJMct072317. PMID: 17699818.Disponible:https://pubmed.ncbi.nlm.nih.gov/17699818/

Totonchy MB, Chiu MW. UV-based therapy. Dermatol Clin. 2014;32(3):399–413.DOI:10.1016/j.det.2014.03.003.Disponible:https://pubmed.ncbi.nlm.nih.gov/24891061/

Ortiz-Salvador JM, Ferrer DS, Saneleuterio-Temporal M, Victoria Martínez AM, Ferriols AP, Vilata Corell JJ, et al. Riesgo de fotocarcinogénesis asociado a la fototerapia UVB-BE. Estudio epidemiológico de un hospital terciario. Actas Dermosifiliogr. 2018;109(4):340–5. DOI: 10.1016/j.ad.2018.01.001 Disponible en:https://actasdermo.org/es-riesgo-fotocarcinogenesis-asociado-fototerapia-uvb-be--articulo-resumen-S0001731018300012

Toledo-Pastrana T, García-Hernández MJ, Carrizosa-Esquivel AM, Camacho-Martínez FM. Evaluation of 25 years of phototherapy for treating psoriasis at a teaching hospital in southern Spain. An Bras Dermatol. 2015 Jul-Aug;90(4):473-8. DOI: 10.1590/abd1806-4841.20153694. PMID: 26375215; PMCID: PMC4560535. Disponible:https://pubmed.ncbi.nlm.nih.gov/26375215/

Pavlotsky F, Alkhazov A, Barzilai A, Scope A. Predictors of adherence to Narrowband ultraviolet B first-month treatment dosage plan. Isr Med Assoc J. 2022 ;25(12):820–3. PMID: 36573776 Disponible:https://pubmed.ncbi.nlm.nih.gov/36573776/

Valenzuela F, Silva P, Valdés MP, Papp K. Epidemiology and quality of life of patients with psoriasis in Chile. Actas Dermosifiliogr. 2011;102(10):810–6. DOI:10.1016/j.ad.2011.03.022 Disponible :https://www.actasdermo.org/es-estadisticas-S0001731011002316

Maldonado Gómez M, Domínguez Hermenejildo M, Ruiz Iza L, Cárdenas Aguilar G, Pinchevsky Girón C, Velaña Molina J. Caracterización de aspectos clínicos y tratamiento de paciente con vitíligo. 17 de febrero de 2023;7(1):4409-24.DOI.org/10.37811/cl_rcm.v7i1.4767.Disponible:https://ciencialatina.org/index.php/cienciala/article/view/4767

Magdaleno-Tapial J, Ortiz-Salvador JM, Valenzuela-Oñate C, Marí-Cornejo P, Esteve-Martínez A, Pérez-Ferriols A. Experiencia en el uso de fototerapia en pacientes pediátricos y comparación de esta técnica frente a pacientes adultos. Actas Dermosifiliogr. 2020;111(1):41–6. DOI:10.1016/j.ad.2019.03.012.Disponible:https://www.sciencedirect.com/science/article/pii/S000173101930167X

Carrascosa JM, Gardeazábal J, Pérez-Ferriols A, Alomar A, Manrique P, Jones-Caballero M, et al. Documento de consenso sobre fototerapia: terapias PUVA y UVB de banda estrecha. Actas Dermosifiliogr. 2005;96(10):635–58. DOI:10.1016/S0001-7310(05)73153-7. Disponible:https://actasdermo.org/es-estadisticas-13082558

Mehta D, Lim HW. Ultraviolet B Phototherapy for Psoriasis: Review of Practical Guidelines. Am J Clin Dermatol. 2016 Apr;17(2):125-33. DOI: 10.1007/s40257-016-0176-6. PMID: 26872953.Disponible:https://pubmed.ncbi.nlm.nih.gov/26872953/

Bouceiro Mendes R, Alpalhão M, Filipe P. UVB phototherapy in the treatment of vitiligo: State of the art and clinical perspectives. Photodermatol Photoimmunol Photomed [Internet]. 2022;38(3):215–23.DOI:10.1111/phpp.12740.Disponible:https://onlinelibrary.wiley.com/doi/10.1111/phpp.12740

Bae JM, Jung HM, Hong BY, Lee JH, Choi WJ, Lee JH, Kim GM. Phototherapy for Vitiligo: A Systematic Review and Meta-analysis. JAMA Dermatol. 2017 Jul 1;153(7):666-674.DOI:10.1001/jamadermatol.2017.0002. PMID: 28355423; PMCID: PMC5817459.Disponible:https://pubmed.ncbi.nlm.nih.gov/28355423/

Ibrahim MA, Eltayeb N, Ibrahim MM, Nassar A, Daruish M, El-Zimaity M, El-Lithy M, Mostafa A, El-Afifi A, Abdelbary H, El-Sayed MH. Suggested Guidelines for the Treatment of Mycosis Fungoides in Countries with Limited Resources. Dermatol Res Pract. 2023 Jan 31;2023:1360740.DOI:10.1155/2023/1360740. PMID: 36762366; PMCID: PMC9904957.Disponible:https://pubmed.ncbi.nlm.nih.gov/36762366/

Published

2024-10-27

How to Cite

1.
Bertolotto Leoneli FN, López N, Henríquez A, Montecinos N, Briceño G. Caracterización de pacientes usuarios de fototerapia en el Servicio de Dermatología, Hospital Hernán Henríquez Aravena (Septiembre 2021-Marzo 2023). Rev Estud Med Sur [Internet]. 2024 Oct. 27 [cited 2025 Oct. 14];10(2). Available from: https://rems.ufro.cl/index.php/rems/article/view/194

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