Narrow band UVB phototherapy for the treatment of refractory renal pruritus among patients on hemodialysis
Joint Authors
al-Nawayisah, Muhammad B.
Abu Sailik, Muhammad
al-Hasanat, Abd Allah
Hamdinah, Khalid
Fawwaz, al-Sharif Muhammad
al-Muhaysin, Adam
Source
Journal of the Royal Medical Services
Issue
Vol. 28, Issue 1 (30 Apr. 2021), pp.38-53, 16 p.
Publisher
The Royal Medical Services Jordan Armed Forces
Publication Date
2021-04-30
Country of Publication
Jordan
No. of Pages
16
Main Subjects
Natural & Life Sciences (Multidisciplinary)
Abstract EN
Objective: To assess the efficacy of narrowband ultraviolet B phototherapy for the treatment of refractory renal pruritus among patients on hemodialysis.
Methods: This prospective multi-centered cohort study included 106 adult patients with renal failure on maintenance hemodialysis.
These patients who presented with severe renal pruritus unresponsive to previous therapies, were treated with narrowband ultraviolet B phototherapy three times a week for four months.
The initial therapeutic ultraviolet B dose was dependent on the skin phototype.
The dose was increased by 20% if erythema appeared or by 40% if it did not.
Evaluation of pruritus was carried out monthly during treatment and three months following treatment cessation using the 12-Item pruritus severity scale (PSS).
Results: There was a significant improvement in the degree of pruritus in the first three months of phototherapy.
However, the improvement at the fourth visit was not significant.
Pruritus severity scale decreased from a mean of 19.1 ± 1.9 at the initiation of phototherapy to 9.2 ± 3.9 at the end of treatment (P < .001), but increased to 12.9 ± 4.0 three months after cessation of treatment.
The overall response rate was 78%.
Although the relapse rate was 52%, the overall improvement from pretreatment state was significant (p < .001).
Conclusion: Since there was no significant improvement after the third visit and given that there was a high relapse rate after treatment discontinuation, we recommend starting an induction therapy (3 times a week) in the first three months, then continuing for maintenance therapy with the possibility of combining phototherapy with other systemic therapies.
Narrowband ultraviolet B phototherapy is highly effective for the treatment of renal pruritus, but the clinical response is short-lived with a high relapse rate after discontinuation of phototherapy.
American Psychological Association (APA)
Abu Sailik, Muhammad& al-Hasanat, Abd Allah& Hamdinah, Khalid& Fawwaz, al-Sharif Muhammad& al-Muhaysin, Adam& al-Nawayisah, Muhammad B.. 2021. Narrow band UVB phototherapy for the treatment of refractory renal pruritus among patients on hemodialysis. Journal of the Royal Medical Services،Vol. 28, no. 1, pp.38-53.
https://search.emarefa.net/detail/BIM-1346745
Modern Language Association (MLA)
Abu Sailik, Muhammad…[et al.]. Narrow band UVB phototherapy for the treatment of refractory renal pruritus among patients on hemodialysis. Journal of the Royal Medical Services Vol. 28, no. 1 (Apr. 2021), pp.38-53.
https://search.emarefa.net/detail/BIM-1346745
American Medical Association (AMA)
Abu Sailik, Muhammad& al-Hasanat, Abd Allah& Hamdinah, Khalid& Fawwaz, al-Sharif Muhammad& al-Muhaysin, Adam& al-Nawayisah, Muhammad B.. Narrow band UVB phototherapy for the treatment of refractory renal pruritus among patients on hemodialysis. Journal of the Royal Medical Services. 2021. Vol. 28, no. 1, pp.38-53.
https://search.emarefa.net/detail/BIM-1346745
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 49-53
Record ID
BIM-1346745