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2013, Number 3

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Rev Med Inst Mex Seguro Soc 2013; 51 (3)

Environmental UV radiation levels for dosing PUVA-sol in Mexico

Castanedo-Cázares JP, Torres-Álvarez B, Ehnis-Pérez A, Alba-Barba I
Full text How to cite this article

Language: Spanish
References: 12
Page: 264-269
PDF size: 102.43 Kb.


Key words:

phototherapy, PUVA therapy, psoralens, ultraviolet rays, radiation, Mexico.

ABSTRACT

Background: PUVA-sol therapy has the advantage of its extensive availability and low cost. However, its use is empirical. The aim was to quantify the environmental UVA radiation and suggest a method for PUVA-sol administration.
Methods: we measured the UV radiation in the center of México (22 °N, 101 °W, 1877 m) by means of terrestrial radiometry from 2007 to 2011. We registered the variations according to hour, month, cloudiness and transmission through domestic silicate plates.
Results: more than 75 % of the UVA radiation is registered between the hours of 9:00 and 17:00. The annual lowest average intensity was 20 mW/cm2 and the highest 25.4 mW/cm2 (ANOVA, p ‹ 0.001). The monthly UVA irradiation during the zenith for clear skies can be estimated by the following formula: 23.8 + 0.13 (month) – 0.13 (month – 6.5)2, (r2 = 0.95, p ‹ 0.001). The commonly used silicate plate (3 mm) has a UVB absorbance of 0.93, and UVA transmittance of 0.58.
Conclusions: the rational use of PUVA-sol is possible on the basis of the obtained data. It is necessary to isolate UVB radiation, and to adjust exposure during cloudy days, as well as following the safety protocol to obtain benefit and to reduce the risk of adverse effects.


REFERENCES

  1. Schneider LA, Hinrichs R, Scharffetter-Kochanek K. Phototherapy and photochemotherapy. Clin Dermatol. 2008;26(5):464-76.

  2. Halpern SM, Anstey AV, Dawe RS, Diffl ey BL, Farr PM, Ferguson J, et al. Guidelines for topical PUVA: a report of a workshop of the British photodermatology group. Br J Dermatol. 2000;142:22-31.

  3. Horio T. Skin disorders that improve by exposure to sunlight. Clin Dermatol. 1998;16(1):59-65.

  4. Balasaraswathy P, Kumar U, Srinivas CR, Nair S. UVA and UVB in sunlight, Optimal utilization of UV rays in sunlight for phototherapy. Indian J Dermatol Venerol Leprol. 2002;68(4):198-201. Disponible en http://www.ijdvl. com/article.asp?issn=0378-6323;year=2002;volume=68;i ssue=4;spage=198;epage=201;aulast=Balasaraswathy

  5. Castanedo-Cázares JP, Lepe V, Gordillo-Moscoso A, Moncada B. Dosis de Radiación Ultravioleta en escolares Mexicanos. Salud Publica Mex. 2003;45:439-44. Disponible en http://www.scielosp.org/scielo.php?script=sci_ar ttext&pid=S0036-36342003000600003

  6. Diffey BL. What is light? Photodermatol Photoimmunol Photomed. 2002;18(2):68-74.

  7. Poletti ED, Muñoz-Sandoval R, Escobedo-Terrones GS, Alcalá-Dávila EI. PUVASOL: ¿la fuerza de la costumbre? Refl exiones y propuestas en consideración a tres casos iatrógenos. Dermatología Rev Mex. 2010; 54(4):222-27.

  8. McKinlay AF, Diffey BL. A reference action spectrum for ultraviolet induced erythema in human skin. CIE J. 1987;6:17-22.

  9. Atlas Internacional de Nubes. Manual de observación de nubes y otros meteoros. Ginebra, Suiza: Secretaría de la Organización Meteorológica Mundial (OMM); 1993.

  10. Estupiñán JG, Raman S, Crescenti, GH, Streicher JJ, Barnard WF. Effects of clouds and haze on UVB radiation. J Geophys Res. 1996;101(D11):16807-16. Disponible en http://nc-climate.ncsu.edu/sraman/publications/J120.pdf

  11. Menter A, Korman NJ, Elmets CA, et al. Guidelines of care for management of psoriasis and psoriatic arthritis. Section 5. Guidelines of care for the treatment of psoriasis with phototherapy and photochemotherapy. J Am Acad Dermatol. 2010;62 (1):114-35.

  12. Madronich S, McKenzie RL, Björn LO, Caldwell MM. Changes in biologically active ultraviolet radiation reaching the Earth’s surface. J Photochem Photobiol B. 1998;46(1-3):5-19.




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Rev Med Inst Mex Seguro Soc. 2013;51