Clinical Efficacy of Blue Light Full Body Irradiation as Treatment Option for Severe Atopic Dermatitis
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{"title"=>"Clinical efficacy of blue light full body irradiation as treatment option for severe atopic dermatitis", "type"=>"journal", "authors"=>[{"first_name"=>"Detlef", "last_name"=>"Becker", "scopus_author_id"=>"7401883835"}, {"first_name"=>"Elise", "last_name"=>"Langer", "scopus_author_id"=>"42061882200"}, {"first_name"=>"Martin", "last_name"=>"Seemann", "scopus_author_id"=>"42062203700"}, {"first_name"=>"Gunda", "last_name"=>"Seemann", "scopus_author_id"=>"42062256300"}, {"first_name"=>"Isabel", "last_name"=>"Fell", "scopus_author_id"=>"42061168500"}, {"first_name"=>"Joachim", "last_name"=>"Saloga", "scopus_author_id"=>"56248982600"}, {"first_name"=>"Stephan", "last_name"=>"Grabbe", "scopus_author_id"=>"7004949681"}, {"first_name"=>"Esther", "last_name"=>"von Stebut", "scopus_author_id"=>"6701641588"}], "year"=>2011, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"361908345", "sgr"=>"79958162253", "issn"=>"19326203", "pmid"=>"21687679", "scopus"=>"2-s2.0-79958162253", "doi"=>"10.1371/journal.pone.0020566", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)"}, "id"=>"fbfd9b0d-6874-3184-86c3-9fc5770253fd", "abstract"=>"BACKGROUND: Therapy of atopic dermatitis (AD) relies on immunosuppression and/or UV irradiation. Here, we assessed clinical efficacy and histopathological alterations induced by blue light-treatment of AD within an observational, non-interventional study.\\n\\nMETHODOLOGY/PRINCIPAL FINDINGS: 36 patients with severe, chronic AD resisting long term disease control with local corticosteroids were included. Treatment consisted of one cycle of 5 consecutive blue light-irradiations (28.9 J/cm(2)). Patients were instructed to ask for treatment upon disease exacerbation despite interval therapy with topical corticosteroids. The majority of patients noted first improvements after 2-3 cycles. The EASI score was improved by 41% and 54% after 3 and 6 months, respectively (p≤0.005, and p≤0.002). Significant improvement of pruritus, sleep and life quality was noted especially after 6 months. Also, frequency and intensity of disease exacerbations and the usage of topical corticosteroids was reduced. Finally, immunohistochemistry of skin biopsies obtained at baseline and after 5 and 15 days revealed that, unlike UV light, blue light-treatment did not induce Langerhans cell or T cell depletion from skin.\\n\\nCONCLUSIONS/SIGNIFICANCE: Blue light-irradiation may represent a suitable treatment option for AD providing long term control of disease. Future studies with larger patient cohorts within a randomized, placebo-controlled clinical trial are required to confirm this observation.", "link"=>"http://www.mendeley.com/research/clinical-efficacy-blue-light-full-body-irradiation-treatment-option-severe-atopic-dermatitis-2", "reader_count"=>27, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Researcher"=>4, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>7, "Student > Postgraduate"=>3, "Student > Master"=>4, "Other"=>3, "Student > Bachelor"=>2, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Researcher"=>4, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>7, "Student > Postgraduate"=>3, "Student > Master"=>4, "Other"=>3, "Student > Bachelor"=>2, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>3, "Medicine and Dentistry"=>9, "Agricultural and Biological Sciences"=>7, "Design"=>1, "Psychology"=>2, "Chemistry"=>1, "Social Sciences"=>3, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Design"=>{"Design"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>9}, "Chemistry"=>{"Chemistry"=>1}, "Social Sciences"=>{"Social Sciences"=>3}, "Psychology"=>{"Psychology"=>2}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>7}, "Unspecified"=>{"Unspecified"=>3}}, "reader_count_by_country"=>{"Argentina"=>1}, "group_count"=>5}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/766746"], "description"=>"<p><b>A</b>, EASI assessment of the severity of skin affection was obtained before treatment (d0), on day 15 (d15), and after 3 and 6 months (m3 and m6, respectively). Data are presented as mean±SEM (n≥29, * = p≤0.05, ** = p≤0.005, and *** = p≤0.002). <b>B</b>–<b>F</b>, Representative clinical pictures from before treatment (.1, d0) and after 6 months (.2). <b>B+C</b>: patient #10 – male, 38 years; <b>D</b>: patient #15 – female, 41 years; <b>E+F</b>: patient #16 – male, 28 years.</p>", "links"=>[], "tags"=>["immunology", "physiology", "pediatrics and child health", "dermatology", "physics"], "article_id"=>437106, "categories"=>["Physics", "Developmental Biology", "Physiology", "Medicine", "Immunology"], "users"=>["Detlef Becker", "Elise Langer", "Martin Seemann", "Gunda Seemann", "Isabel Fell", "Joachim Saloga", "Stephan Grabbe", "Esther von Stebut"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0020566.g002", "stats"=>{"downloads"=>1, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Clinical_improvement_after_blue_light_irradiation_/437106", "title"=>"Clinical improvement after blue light irradiation.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 17:39:38"}
  • {"files"=>["https://ndownloader.figshare.com/files/767002"], "description"=>"<p><b>A</b>, For each individual patient (n = 36), the time point at which he/she asked for a subsequent irradiation cycle due to disease exacerbation is depicted. <b>B+C</b>, After 6 months, all patients were asked to indicate the irradiation cycle in which they first observed improvement of their skin and/or the itching, respectively.</p>", "links"=>[], "tags"=>["treatments", "months"], "article_id"=>437363, "categories"=>["Physics", "Developmental Biology", "Physiology", "Medicine", "Immunology"], "users"=>["Detlef Becker", "Elise Langer", "Martin Seemann", "Gunda Seemann", "Isabel Fell", "Joachim Saloga", "Stephan Grabbe", "Esther von Stebut"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0020566.g003", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Number_of_treatments_within_6_months_and_time_of_first_improvement_/437363", "title"=>"Number of treatments within 6 months and time of first improvement.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 17:41:07"}
  • {"files"=>["https://ndownloader.figshare.com/files/767119"], "description"=>"<p><b>A+B</b>, At the indicated time points, patients were asked to quantify their degree of itching and sleeplessness on an analogous scale from 0 = none to 10 = severe. <b>C</b>, Prior to treatment, on day 15 and after 3 and 6 months, each patient completed the Dermatology life quality index (DLQI) consisting of 10 questions which are scored between 0 = not relevant and 4 = very much affected. Data are presented as cumulative data from all 10 questions. <b>A</b>–<b>C</b>, All data are shown as mean+SEM, * = p≤0.05, and *** = p≤0.002 as compared to d0.</p>", "links"=>[], "tags"=>["immunology", "physiology", "pediatrics and child health", "dermatology", "physics"], "article_id"=>437476, "categories"=>["Physics", "Developmental Biology", "Physiology", "Medicine", "Immunology"], "users"=>["Detlef Becker", "Elise Langer", "Martin Seemann", "Gunda Seemann", "Isabel Fell", "Joachim Saloga", "Stephan Grabbe", "Esther von Stebut"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0020566.g004", "stats"=>{"downloads"=>0, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Significant_quality_of_live_improvement_of_blue_light_treatment_/437476", "title"=>"Significant quality of live improvement of blue light-treatment.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 17:41:41"}
  • {"files"=>["https://ndownloader.figshare.com/files/767338"], "description"=>"<p>Skin biopsies of AD patients were obtained before treatment (day 0, d0), on day 5 before irradiation and on day 15 before the last irradiation in the third cycle. Formalin-fixed skin was sectioned and immunohistochemistry performed with anti-CD4, anti-CD1a, and anti-HLA-DR. <b>A</b>, The number of positive cells/mm<sup>2</sup> was counted in 5 representative fields per patient both in the epidermis and the dermis. Left panels indicate the mean baseline number for each individual patient (black dots) on d0 with bars showing the mean value of all patients. White dots represent results of healthy control skin from unrelated patients. Right panels contain cumulative data in which the percent change on d5 and d15 to baseline was calculated. Data are shown as mean±SEM (n≥16, * = p≤0.05 as compared to d0). <b>B</b>, Representative stainings for CD4, CD1a and HLA-DR are presented for baseline day 0 and day 15 (x100 magnification for CD4 and HLA-DR, x400 for CD1a).</p>", "links"=>[], "tags"=>["mechanisms", "uv"], "article_id"=>437705, "categories"=>["Physics", "Developmental Biology", "Physiology", "Medicine", "Immunology"], "users"=>["Detlef Becker", "Elise Langer", "Martin Seemann", "Gunda Seemann", "Isabel Fell", "Joachim Saloga", "Stephan Grabbe", "Esther von Stebut"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0020566.g006", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Blue_light_treatment_does_not_act_though_similar_mechanisms_as_UV_light_irradiation_/437705", "title"=>"Blue light treatment does not act though similar mechanisms as UV light irradiation.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 17:42:54"}
  • {"files"=>["https://ndownloader.figshare.com/files/767194"], "description"=>"<p><b>A</b>, After 3 and 6 months after blue light therapy initiation, patients were asked about their total number of disease exacerbations within the last 3 months, and about the frequency and intensity of these flare ups since treatment start. <b>B</b>, The number of patients that judged this treatment superior to prior treatments at 3 and 6 months post treatment initiation is given.</p>", "links"=>[], "tags"=>["severity"], "article_id"=>437563, "categories"=>["Physics", "Developmental Biology", "Physiology", "Medicine", "Immunology"], "users"=>["Detlef Becker", "Elise Langer", "Martin Seemann", "Gunda Seemann", "Isabel Fell", "Joachim Saloga", "Stephan Grabbe", "Esther von Stebut"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0020566.g005", "stats"=>{"downloads"=>0, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Improvement_of_severity_and_frequency_of_disease_exacerbations_/437563", "title"=>"Improvement of severity and frequency of disease exacerbations.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 17:42:08"}
  • {"files"=>["https://ndownloader.figshare.com/files/766613"], "description"=>"<p>Emission spectrum of the Neuroderm® full body irradiation device.</p>", "links"=>[], "tags"=>["irradiation"], "article_id"=>436974, "categories"=>["Physics", "Developmental Biology", "Physiology", "Medicine", "Immunology"], "users"=>["Detlef Becker", "Elise Langer", "Martin Seemann", "Gunda Seemann", "Isabel Fell", "Joachim Saloga", "Stephan Grabbe", "Esther von Stebut"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0020566.g001", "stats"=>{"downloads"=>0, "page_views"=>20, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Emission_spectrum_of_the_Neuroderm_174_full_body_irradiation_device_/436974", "title"=>"Emission spectrum of the Neuroderm® full body irradiation device.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 17:38:54"}

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Relative Metric

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