Uva-1 therapy

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

UVA-1 light therapy; UVA-1 radiation therapy

Definition
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Selective UV radiation therapy (light therapy) with UVA-1 rays, which cover a UV spectrum between 340-400 nm. In addition to the preferred spectrum, UVA-1 devices emit visible light as well as infrared rays and, to varying degrees, heat rays.

General definition
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In the past, some therapy-related terms have become established in dermatology such as:
  • High-dose UVA-1 therapy: single dose 100 - 130J/cm²
  • UVA-1 cold light therapy: The radiation sources emit only a small (hardly measurable) amount of heat radiation through various filter techniques.
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Effects
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UVA-1 radiation has an immunomodulatory effect and leads to apoptosis of lymphocytic inflammatory cells (especially T-helper cells). This anti-inflammatory effect is considered to be an important principle of UVA-1 therapy.

Indication
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Contraindication
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UVA-1 sensitive atopic eczema, polymorphic light dermatosis and other light diseases, intake of light sensitizing drugs.

Complication(s)
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  • Acute side effects: Activation of bacterial or viral infections, hyperpigmentation, dermatitis solaris in overdose.
  • Long-term side effects: premature skin ageing (see also light ageing) and wrinkle formation and, to a lesser extent in relation to UVB, an increased risk of skin cancer (see also photocarcinogenesis; see also malignant melanoma).

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Last updated on: 29.10.2020