Effect of Dead Sea Climatotherapy on Psoriasis; A Prospective Cohort Study

Background: Dead Sea climatotherapy (DSC) is a treatment option for psoriasis in Denmark. However, the response to DSC has not been particularly well studied.Aim: We sought to determine effectiveness and response duration of DSC on psoriasis-related outcome parameters.Methods: Eighteen patients part...

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Main Authors: Thomas Emmanuel, Dorte Lybæk, Claus Johansen, Lars Iversen
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-03-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fmed.2020.00083/full
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author Thomas Emmanuel
Dorte Lybæk
Claus Johansen
Lars Iversen
author_facet Thomas Emmanuel
Dorte Lybæk
Claus Johansen
Lars Iversen
author_sort Thomas Emmanuel
collection DOAJ
description Background: Dead Sea climatotherapy (DSC) is a treatment option for psoriasis in Denmark. However, the response to DSC has not been particularly well studied.Aim: We sought to determine effectiveness and response duration of DSC on psoriasis-related outcome parameters.Methods: Eighteen patients participated in a 4-week treatment program in Ein Gedi in Israel. Treatment, consisting of sun exposure and bathing, was individualized.Results: DSC was associated with a mean 13.0-point reduction (88%) in Psoriasis Area and Severity Index and a mean reduction of 2.3 (76.7%) on the 5-point Investigator's Global Assessment Scale. Furthermore, patients' quality of life improved measured by the Dermatology Quality of Life Index and EuroQol 5D index values. The mean time from treatment end to reappearance of visible skin symptoms was 93.8 days (SD: 62.5, range: 31–219 days).Conclusions: Our results confirm that DSC has an immediate effect on skin manifestations and improves quality of life, but long-term disease control is not observed.
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spelling doaj.art-2bdfe9010a6a4c4394f90cce29a2d9282022-12-22T01:28:03ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2020-03-01710.3389/fmed.2020.00083502620Effect of Dead Sea Climatotherapy on Psoriasis; A Prospective Cohort StudyThomas EmmanuelDorte LybækClaus JohansenLars IversenBackground: Dead Sea climatotherapy (DSC) is a treatment option for psoriasis in Denmark. However, the response to DSC has not been particularly well studied.Aim: We sought to determine effectiveness and response duration of DSC on psoriasis-related outcome parameters.Methods: Eighteen patients participated in a 4-week treatment program in Ein Gedi in Israel. Treatment, consisting of sun exposure and bathing, was individualized.Results: DSC was associated with a mean 13.0-point reduction (88%) in Psoriasis Area and Severity Index and a mean reduction of 2.3 (76.7%) on the 5-point Investigator's Global Assessment Scale. Furthermore, patients' quality of life improved measured by the Dermatology Quality of Life Index and EuroQol 5D index values. The mean time from treatment end to reappearance of visible skin symptoms was 93.8 days (SD: 62.5, range: 31–219 days).Conclusions: Our results confirm that DSC has an immediate effect on skin manifestations and improves quality of life, but long-term disease control is not observed.https://www.frontiersin.org/article/10.3389/fmed.2020.00083/fullpsoriasisDead SeaclimatotherapyheliotherapycohortEin Gedi
spellingShingle Thomas Emmanuel
Dorte Lybæk
Claus Johansen
Lars Iversen
Effect of Dead Sea Climatotherapy on Psoriasis; A Prospective Cohort Study
Frontiers in Medicine
psoriasis
Dead Sea
climatotherapy
heliotherapy
cohort
Ein Gedi
title Effect of Dead Sea Climatotherapy on Psoriasis; A Prospective Cohort Study
title_full Effect of Dead Sea Climatotherapy on Psoriasis; A Prospective Cohort Study
title_fullStr Effect of Dead Sea Climatotherapy on Psoriasis; A Prospective Cohort Study
title_full_unstemmed Effect of Dead Sea Climatotherapy on Psoriasis; A Prospective Cohort Study
title_short Effect of Dead Sea Climatotherapy on Psoriasis; A Prospective Cohort Study
title_sort effect of dead sea climatotherapy on psoriasis a prospective cohort study
topic psoriasis
Dead Sea
climatotherapy
heliotherapy
cohort
Ein Gedi
url https://www.frontiersin.org/article/10.3389/fmed.2020.00083/full
work_keys_str_mv AT thomasemmanuel effectofdeadseaclimatotherapyonpsoriasisaprospectivecohortstudy
AT dortelybæk effectofdeadseaclimatotherapyonpsoriasisaprospectivecohortstudy
AT clausjohansen effectofdeadseaclimatotherapyonpsoriasisaprospectivecohortstudy
AT larsiversen effectofdeadseaclimatotherapyonpsoriasisaprospectivecohortstudy