Phototherapy and Patch Testing
Experience and facility with all modes of phototherapy are important aspects of the field of dermatology. Residents, particularly during the Day Treatment Center assignment - in which you will round daily for two months on patients receiving regular phototherapy - you will observe and learn about phototherapy treatment. The importance of and uses for patch testing as an important diagnostic technique are included in this assignment.
Over the three-year residency, the faculty will teach:
- Irradiance and explain exposure dose.
- Minimal erythema dose (MED) and minimal phototoxic dose (MPD).
- Measurement of MED and MPD and plan a treatment program based on it.
- Adjuvant therapies for UVB and PUVA.
- Management of treatment gaps, adjustments for excessive exposures, and conversion to maintain therapy for UVB and PUVA.
- Treatment of accidental overdosing of UVB and PUVA.
- Management of non-psoriasis patients: PUVA or UVA-1 for morphea/ scleroderma; UVB for pityriasis rosea, renal or hepatic disease, atopic dermatitis, etc..
- The procedure for routine and photo patch testing.