Zusammenfassung
Der 308 nm-Excimerlaser ermöglicht eine wirkungsvollere und sicherere UVB-Therapie als die klassische UV-Phototherapie: eine gezielte Bestrahlung in höherer Dosis bei niedrigerer kumulativer Belastung mit dem Ergebnis rascherer Abheilung v. a. umschriebener Hautveränderungen. Das gilt auch für therapieresistente Restherde, die trotz Systemtherapie nicht abklingen. Kombinationstherapien verbessern meist das Ergebnis und ermöglichen, die Dosis des UVB sowie systemischer Medikation zu reduzieren. Excimerlasertherapien können bei einer zunehmenden Zahl von Hauterkrankungen angewendet werden, v. a. bei jenen, die auf Phototherapie oder Photochemotherapie ansprechen.
Abstract
Overall, the 308 nm Excimer laser enables not only a more effective and safer UVB therapy than classical UV phototherapy, but also targeted irradiation in higher doses with a lower cumulative load, which results in faster healing of mainly circumscribed skin changes. This also applies to therapy-resistant residual lesions which, despite systemic therapy, did not diminish. Combination therapies usually improve the result and enable the dose of UVB and systemic medication to be reduced. Excimer laser therapy can be used for an increasing number of skin diseases, especially those that respond to phototherapy or photochemotherapy.
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K. Fritz und C. Salavastru geben an, dass kein Interessenkonflikt besteht.
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Fritz, K., Salavastru, C. 308 nm-Excimerlaser zur Therapie von Psoriasis und entzündlichen Hauterkrankungen. Hautarzt 69, 35–43 (2018). https://doi.org/10.1007/s00105-017-4105-2
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DOI: https://doi.org/10.1007/s00105-017-4105-2