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Handbuch der dermatologischen Phototherapie und Photodiagnostik pp 145–166Cite as

Photo- und Photochemotherapie: Seltenere Indikationen

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Zusammenfassung

Der Einsatz von Photo- und Photochemotherapie wurde in den letzten Jahren ständig erweitert. Neben den klassischen Indikationen wie z. B. Psoriasis vulgaris, atopische Dermatitis, Mycosis fungoides, polymorphe Lichtdermatose, Vitiligo wurden diese Behandlungen auch bei vielen anderen Dermatosen versuchsweise mit recht unterschiedlichen Erfolgen eingesetzt. Die Anzahl der Dermatosen, bei denen die UV-Therapie als Standardregime neben anderen etablierten Therapieverfahren angesehen werden kann, hat daher stetig zugenommen, z. B. bei Sklerodermie, Urticaria pigmentosa, Lichen ruber. Darüber hinaus gibt es eine Vielzahl von Berichten über den erfolgreichen Einsatz von Photo- bzw. Photochemotherapie bei den verschiedensten Dermatosen. Es handelt sich allerdings oft nur um Einzelbeobachtungen, aus denen keine verallgemeinernden Schlüsse gezogen werden sollten. Der endgültige Stellenwert der UV-Therapie bei diesen Dermatosen wird erst durch kontrollierte Studien mit größeren Fallzahlen zu beurteilen sein, was jedoch bei der geringen Fallzahl dieser Krankheitsbilder in nächster Zeit nicht zu erwarten sein wird. Im folgenden wird daher eine kurze Übersicht über diese selteneren Indikationen der Photo-und Photochemotherapie gegeben. Da aus Platzgründen nicht die genauen, oftsehr unterschiedlichen Details der Studien bzw. Kasuistiken wiedergegeben werden können, sollte vor Einsatz dieser Behandlungsformen bei seltenen Indikationen auf die Originalliteratur zurückgegriffen werden.

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  1. Anita Rütter
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  2. Helge Riemann
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  3. Thomas Schwarz
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Editors and Affiliations

  1. Hautklinik, Heinrich-Heine-Universität, Moorenstraße 5, D-40225, Düsseldorf, Germany

    Jean Krutmann

  2. Universitätsklinik für Dermatologie, Allgemeines Krankenhaus der Stadt Wien, Währinger Gürtel 18-20, A-1090, Wien, Germany

    Herbert Hönigsmann

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Rütter, A., Riemann, H., Schwarz, T. (1997). Photo- und Photochemotherapie: Seltenere Indikationen. In: Krutmann, J., Hönigsmann, H. (eds) Handbuch der dermatologischen Phototherapie und Photodiagnostik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60425-6_9

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