Prof. M.N. Huda is the Best Dermatologist in Bangladesh. He known as Best Dermatologist in South Asia. This world- renowned doctor has bagged the overflowing respect and love for his excellent work and selfless services in health care sector. He is not just an Best Skin Specialist in Bangladesh but a Renowned Professor of Dermatology & Venereology. He is also called Leading Dermatologist in Bangladesh.
It is a widely used treatment since the early seventies for the treatment and control of many skin diseases (psoriasis, vitiligo, mycosis fungoides, eczema …). Treatment with PUVA consists of the administration of a photoactive drug (psoralen) by mouth and subsequent exposure to ultraviolet A radiation.
This treatment works by slowing down the cell multiplication of both the cells of the epidermis and your immune system.
The prescribed medicine will taken with some food two hours before the UVA session, which will be received over the entire body surface inside a cabin. There are other treatment modalities that allow its administration on localized areas of the body surface (hands and feet); For this, the medicine (psoralen) applied in the form of a cream or bath on the area to treated and half an hour later it exposed to the UVA light source.
During treatment, you must wear the dark glasses that will be provided, and cover your genitals. Once you leave the Hospital, you will use your sunglasses and protect yourself from light in the manner indicated, to prevent sunburn or damage to the retina.
The nurse who attends you will control the intensity of light that your skin receives by controlling the exposure time, keeping the dose at therapeutic but safe levels.
The total number of sessions per week and the duration of treatment depends on your skin type (phototype). And the response of your disease to treatment. Usually it begins with 2-3 weekly sessions.
PUVA Side effects
You may notice from the first sessions redness and dryness of the skin or a slight itch. Soon the pigmentation of your skin will increase. Other reactions are rare.
Nausea may appear in connection with taking the medicine.
Patients who do not use adequate eye protection can develop cataracts (clouding of the lens, the clear lens of the eye) in the long term. For this reason, your dermatologist will advise you to carry out periodic ophthalmological examinations.
In the long term, treatment with phototherapy in any of its forms can lead to photoaging (the appearance of wrinkles and spots on the skin). And the development of skin cancer . For this reason. It must administered in a controlled manner. In specific indications and always weighing the risk against the benefit that expected to obtained.
PUVA treatment should not administered
- In patients with severe cardiovascular, kidney or liver disease.
- During pregnancy.
- In all patients who have developed skin cancer,
- Cataract patients
- Patients who are taking any phototoxic medication . For this reason, you should tell your doctor. About all the medicines you are taking at the time of starting treatment or during it.