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When using light therapy to treat psoriasis, how long is the average course of treatment? I understand much depends on the severity of the psoriasis, but is there an average time it takes for the condition to clear?
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Harvard Medical School
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General Medical Questions
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Q: When using light therapy to treat psoriasis, how long is the average course of treatment? I understand much depends on the severity of the psoriasis, but is there an average time it takes for the condition to clear?
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The Trusted Source
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Rebecca Campen, M.D., J.D., is an assistant professor of dermatology at Harvard Medical School. She divides her time between clinical practice of dermatology at the Massachusetts General Hospital and private practice in Savannah, Ga.

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December 09, 2009
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A:

The length of time needed to treat psoriasis with light therapy depends upon many factors, including the:

  • Severity
  • Type of light therapy
  • Diligence in following the treatment plan

The lesions of psoriasis may involve only a few areas of the body, such as hands, elbows, or scalp. Or there may be widespread areas of skin lesions. The lesions may be thick or thin, large or small.

Ultraviolet B (UVB), ultraviolet A (UVA), or certain lasers may be used to treat psoriasis. Treatment may include substances applied to the skin (such as petroleum jelly or mineral oil), and medications taken by mouth. For example, a drug called psoralen, which makes skin more sensitive to light, is sometimes included with UVA treatment. The ultraviolet light used may be "broad band" or "narrow band" (which uses a smaller range of ultraviolet light).

In general, light treatments involve sessions two or three times per week. Results are usually seen after four to ten treatments. Maximum results are usually seen after about thirty treatments.

Maintenance therapy may be needed after the maximum results are reached. This may require sessions once or twice per week. Laser treatments target smaller areas (specific lesions) and usually require fewer sessions. However, these are only estimates. Different types of psoriasis respond best to certain types of treatment and responses differ.

It is important to see your doctor for an examination of your psoriasis and to determine the best treatment plan for you. Your doctor will estimate how long treatment will take for your psoriasis and for the type of light treatment chosen.

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