Clinical and immunological aspects of extracorporeal photochemotherapy for psoriasis and psoriatic arthritis

Aim. To evaluate the clinical efficiency of extracorporeal photochemotherapy (EPCT) in the treatment of psoriasis (Ps) and Ps associated with psoriatic arthritis (PsA). Subjects and methods. Ninety-three patients with different forms of psoriasis were examined. A study group (SG) comprised 52 patien...

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Main Authors: V A Molochkov, A V Kil'diushevskiĭ, A V Molochkov, O V Karzanov, E S Iakubovskaia, V A Fedulkina
Format: Article
Language:Russian
Published: "Consilium Medicum" Publishing house 2012-10-01
Series:Терапевтический архив
Subjects:
Online Access:https://ter-arkhiv.ru/0040-3660/article/view/31144
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author V A Molochkov
A V Kil'diushevskiĭ
A V Molochkov
O V Karzanov
E S Iakubovskaia
V A Fedulkina
author_facet V A Molochkov
A V Kil'diushevskiĭ
A V Molochkov
O V Karzanov
E S Iakubovskaia
V A Fedulkina
author_sort V A Molochkov
collection DOAJ
description Aim. To evaluate the clinical efficiency of extracorporeal photochemotherapy (EPCT) in the treatment of psoriasis (Ps) and Ps associated with psoriatic arthritis (PsA). Subjects and methods. Ninety-three patients with different forms of psoriasis were examined. A study group (SG) comprised 52 patients who were treated with EPCT; a control group (CG) included 41 patients. All the patients received pharmacotherapy generally accepted for these diseases. The SG patients were given additionally EPCT (the patient took 8-methoxypsoralen in a dose of 0.6 mg/kg 1.5-2 hours before the procedure). Mononuclear cells were isolated from the patients' blood in the intermittent-line mode on a Haemonetics MCS+ cell separator. The cell suspension was irradiated with ultraviolet light A (λ=320-400 nm) on a JULIA irradiator at 10-15 ml/min for 30 min and reinfused in the patient. The course of therapy consisted of 4 sessions performed on alternate days. Results. A varying positive effect was obtained in 49 (94%) SG patients; the mean PASI scores fell from 19.7±3.4 to 6.7±2.1 (p
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spelling doaj.art-6bdc61e3ec894095b89f91cb639a57882022-12-21T19:16:06Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422012-10-018410697428160Clinical and immunological aspects of extracorporeal photochemotherapy for psoriasis and psoriatic arthritisV A MolochkovA V Kil'diushevskiĭA V MolochkovO V KarzanovE S IakubovskaiaV A FedulkinaAim. To evaluate the clinical efficiency of extracorporeal photochemotherapy (EPCT) in the treatment of psoriasis (Ps) and Ps associated with psoriatic arthritis (PsA). Subjects and methods. Ninety-three patients with different forms of psoriasis were examined. A study group (SG) comprised 52 patients who were treated with EPCT; a control group (CG) included 41 patients. All the patients received pharmacotherapy generally accepted for these diseases. The SG patients were given additionally EPCT (the patient took 8-methoxypsoralen in a dose of 0.6 mg/kg 1.5-2 hours before the procedure). Mononuclear cells were isolated from the patients' blood in the intermittent-line mode on a Haemonetics MCS+ cell separator. The cell suspension was irradiated with ultraviolet light A (λ=320-400 nm) on a JULIA irradiator at 10-15 ml/min for 30 min and reinfused in the patient. The course of therapy consisted of 4 sessions performed on alternate days. Results. A varying positive effect was obtained in 49 (94%) SG patients; the mean PASI scores fell from 19.7±3.4 to 6.7±2.1 (phttps://ter-arkhiv.ru/0040-3660/article/view/31144psoriasispsoriatic arthritisextracorporeal photochemotherapyphotopheresis
spellingShingle V A Molochkov
A V Kil'diushevskiĭ
A V Molochkov
O V Karzanov
E S Iakubovskaia
V A Fedulkina
Clinical and immunological aspects of extracorporeal photochemotherapy for psoriasis and psoriatic arthritis
Терапевтический архив
psoriasis
psoriatic arthritis
extracorporeal photochemotherapy
photopheresis
title Clinical and immunological aspects of extracorporeal photochemotherapy for psoriasis and psoriatic arthritis
title_full Clinical and immunological aspects of extracorporeal photochemotherapy for psoriasis and psoriatic arthritis
title_fullStr Clinical and immunological aspects of extracorporeal photochemotherapy for psoriasis and psoriatic arthritis
title_full_unstemmed Clinical and immunological aspects of extracorporeal photochemotherapy for psoriasis and psoriatic arthritis
title_short Clinical and immunological aspects of extracorporeal photochemotherapy for psoriasis and psoriatic arthritis
title_sort clinical and immunological aspects of extracorporeal photochemotherapy for psoriasis and psoriatic arthritis
topic psoriasis
psoriatic arthritis
extracorporeal photochemotherapy
photopheresis
url https://ter-arkhiv.ru/0040-3660/article/view/31144
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