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Psoriasistherapie

Künstliche versus natürliche Photosole

Psoriasis

Natural versus artificial balneophototherapy

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Zusammenfassung

Die Balneophototherapie mit Starksole [künstliche Photosoletherapie (kPST)] ist in Deutschland als effektive, evidenzbasierte Therapie anerkannt und seit dem 01.07.2008 in den Leistungskatalog der gesetzlichen Krankenkassen aufgenommen worden. Die Behandlung mit natürlicher Photosoletherapie am Toten Meer (nPST) hingegen gilt weiterhin nicht als Standardmethode und wird den Patienten häufig nur mit großem Aufwand bewilligt. Ziel vorliegender Arbeit war es, erstmals für diese beiden Formen der Photosoletherapie die Studienlage auf therapeutische Wirksamkeit, Remissionszeiten und Praktikabilität zu vergleichen. Es zeigt sich, dass inzwischen auch gute evidenzbasierte Studienergebnisse für die Effektivität der natürlichen Photosoletherapie vorliegen und beide Therapieformen vergleichbar sind. Dem Patient mit schwerer, therapieresistenter Psoriasis sollte es nach Ausschöpfung der Therapiemöglichkeiten im Inland leichter möglich sein, eine entsprechende Therapie am Toten Meer zu erlangen.

Abstract

Artificial balneophototherapy is an imitation of the natural balneophototherapy (Dead Sea climatotherapy; DSC) using highly concentrated salt solutions (25%) and UVB radiation. In 2008 the artificial balneophototherapy was included in the German healthcare system as an effective, evidence-based therapy for patients with moderate-severe psoriasis. In contrast, natural DSC is still considered a “non-standard and off-label therapy”. Therefore we analyzed all studies published in the past two decades on both artificial and natural balneophototherapy comparing them in effectiveness, length of remission and practicability. Evidence-based studies on DSC showed good clinical results and long remission periods in psoriatic patients; the two methods seem comparable in effectiveness. Patients with chronic, therapy-resistant psoriasis should have access to DSC if they fail routine measures.

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Authors and Affiliations

  1. Haut- und Allergieklinik Hanau, Klinikum Hanau GmbH, Leimenstr. 20, 63450, Hanau, Deutschland

    S. Roos &  H.M. Ockenfels

  2. Laserklinik Karlsruhe, Karlsruhe, Deutschland

    S. Hammes

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  1. S. Roos
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  2. S. Hammes
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  3. H.M. Ockenfels
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Correspondence to H.M. Ockenfels.

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Roos, S., Hammes, S. & Ockenfels, H. Psoriasistherapie. Hautarzt 61, 683–690 (2010). https://doi.org/10.1007/s00105-010-1971-2

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