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At least 235 records · Page 13Linked to original sources
PubMed1986

Bath rewarming from immersion hypothermia.

Trunk-only bath rewarming has often been recommended over whole-body bath rewarming as a method for the treatment of immersion hypothermia. At present, no report of a direct comparison of the relative merits of these techniques has been made. Authorities in favor of trunk-only bath rewarming base their proposal on the assumption that core temperature afterdrop would be minimized by preventing peripheral vasodilation when the subject's limbs are not immersed in the rewarming bath. In the present study, trunk-only and whole-body bath rewarming are compared by rewarming eight mildly hypothermic male subjects twice, once via each technique. It was concluded that trunk-only rewarming is not superior to whole-body bath rewarming as a therapy for mild immersion hypothermia, based on the findings that no significant differences existed between the two techniques, either in size or duration of core temperature afterdrop, or in rate of rewarming.

Adult↗
PubMed1999

Salt water bathing prior to UVB irradiation leads to a decrease of the minimal erythema dose and an increased erythema index without affecting skin pigmentation.

The combination of salt water baths and solar radiation is known as an effective treatment for patients with psoriasis and atopic dermatitis. To determine whether increased susceptibility to UVB radiation may contribute to this therapeutic effect we have studied the effect of bathing the skin in salt water prior to UVB irradiation. Twelve subjects were phototested on the volar aspects of their forearms with increasing doses of UVB radiation. One forearm was exposed to 5% salt water prior to irradiation. The minimal erythema dose (MED) was determined and the erythema index and skin pigmentation were assessed by photometric measurement. The combination of salt water bath and irradiation yielded a significant decrease of the MED when compared to UVB alone (median 90 mJ/cm2 vs 130 mJ/cm2, P < 0.01). Analysis of variance showed a significant influence of salt water bath on erythema (P < 0.05) but not on skin pigmentation. Within the MED test area the erythema index of the salt water exposed forearms was elevated significantly (P < 0.05) while skin pigmentation was not affected. Thus, bathing the skin in salt water leads to a decreased threshold level for the elicitation of UVB-induced erythema and a selective increase of the erythemal response. This sensitization to the effects of shortwave UVB radiation may increase immunosuppressive effects of UVB radiation and may lead to an increased efficacy of UVB phototherapy. However, there is also an increased sunburn risk when salt water baths are followed by exposure to UV radiation.

Adolescent↗
PubMed2003

[Prevention measures against Legionella infection in a circulating hot water bath].

For the sake of water conservation, a system for circulating hot water is widely used at public baths in Japan. Recently, large outbreaks of Legionella infection have occurred in public baths in Miyazaki and Kagoshima prefectures. More than three hundred persons were infected with Legionella pneumophila, and eight died. These outbreaks revealed that the Manual of Prevention Measures against Legionella Infection in a Circulating Hot Water Bath, which was published by the Ministry of Health, Labour and Welfare in Japan in 2001, was not fully understood or conformed to by managers of the baths. Microbiological features about legionellae should be fully understood for prevention of Legionella infection in a circulating hot water or spring bath. This review describes the microbiological characteristics of legionellae, their habits in the environment, pathogenesis, symptoms of Legionella infection, and disease outbreaks in Japan. I also describe practical prevention measures to deal with this organism in a circulating hot water or spring bath.

Baths↗
PubMedDate not supplied

[The effect of radon baths on the physical work capacity and extrasystole in patients with ischemic heart disease and stable stenocardia].

Balneotherapy was given to 113 patients with ischemic heart disease (IHD) with stable angina (functional class I and II). 40 patients and 43 patients took radon baths (40 nCi/l and 120 nCi/l, respectively), 30 patients took the course of fresh-water baths. Treatment results were assessed at spiroveloergometry and ambulatory Holter monitoring. Radon baths had a training effect in IHD with extra-systole. It manifests in higher physical performance and coronary heart reserve. Antiarrhythmic effect of the radon baths was different: a significant reduction in the average number of 24-h ventricular extrasystoles by 78.1, supraventricular extrasystoles by 92.3%, and by 79.9 and 94.7% for the 40 nCi/l baths and 120 nCi/l baths, respectively.

Angina Pectoris↗
PubMed2000

[Isolation of Mycobacterium avium complex from the "24-hour bath"].

The "24-HOUR BATH" is an apparatus which circulates the bath water, keeps it clean and warm, and makes it possible to take a bath at any time during the day or night. It consists of apparatus for cleaning (sponge or mesh filter and filter material), heating (ceramic heater), and sterilizing (UV lamp). Recently, three cases of skin disease due to M. avium infection in private homes, in which "24-HOUR BATH" water was suspected to be the source of infection, have been reported. We attempted to isolate M. avium complex from the water (32 specimens), sponge filter (29 specimens), and filter material (32 specimens) of the "24-HOUR BATH". One hundred-ml samples of bath water, and 50-ml samples of rinse from a sponge filter or filter material were centrifuged at 3000 rpm for 20 min. Sediment was suspended in distilled water and a smear was prepared, and then digested and decontaminated with 2% sodium hydroxide. The processed specimens were cultured on 2% Ogawa medium containing ofloxacin (1 microgram/ml) and ethambutol (2.5 micrograms/ml) for 8 weeks at 37 degrees C. Positive smears were 3 (9.4%), 25 (86.2%) and 25 (78.1%) specimens from the water, sponge and filter material, respectively. A few bacterial clumps were observed, especially in the sponge specimens. The number of positive culture was 5 (15.6%), 24 (82.8%) and 25 (78.1%) from the water, sponge and filter material, respectively. Among them the number of Runyon's Group III-positive cultures was 5 (100%), 22 (91.7%) and 20 (80%) in the water, sponge, and filter material specimens, respectively. In most cases, cultures were positive for both the sponge and filter material specimens. All of the Group III mycobacteria were smooth, grew at 28, 37, 42, and 45 degrees C, negative for niacin, nitrate reductase, semiquantitative catalase, urease and Tween80 hydrolysis, and positive for 68 degrees C catalase. All of the strains reacted with M. avium complex AccuProbe and M. avium AccuProbe, but none of the strains reacted with M. intracellulare AccuProbe. Therefore, all the Group III isolates were identified as M. avium by the culture, biochemical and genetical characteristics.

Baths↗
PubMedDate not supplied

Variations of vital signs, skin color, behavior and oxygen saturation in premature neonates after sponge bathing. Possible complications.

BACKGROUND: Although sponge bathing is a routine practice in preterm newborn infants, there is evidence suggesting that this procedure is not always innocuous. The objective of this study was to determine whether the sponge bath induces significant changes in vital signs, skin coloration, behavior and peripheral oxygen saturation in the non-critically ill preterm newborn infants, and to assess possible complications. MATERIAL AND METHODS: Seventy nine preterm neonates were prospectively studied between August and November 1999. Vital signs, peripheral blood oxygen saturation, skin color and behavior (according to Prechtl) were assessed 10 minutes before and 10 minutes after a sponge bath. Data were analyzed by descriptive and inferential statistics, using paired Student's t-test, Wilcoxon's rank sum test or McNemar's test when pertinent. Statistical significance was considered when p < 0.05. RESULTS: Vital signs, skin color, behavior and peripheral oxygen saturation all changed significantly after the sponge bath (p < 0.01). No complications were observed within 24 hours after the procedure. CONCLUSIONS: The vital signs, skin color, behavior and oxygen saturation of non-critically ill preterm newborns changed significantly after sponge bathing, although no complications were observed. However, because of these physiologic changes we consider that sponge baths should be performed as quickly as possible in preterm newborn infants.

Baths↗
PubMedDate not supplied

[Percutaneous resorption of salicylic acid methylester from bathing solutions].

Skin uptake of salicylic acid methylester (SAM) by bathing in PERNIONIN -Teilbad (Krewel-Werke, Eitorf) and KNEIPP-Wacholderölbad (Kneipp-Werke, Würzburg) was researched with pigs and human volunteers. In plasma, no SAM was found, only salicylic acid (SA) and traces of salicyluric acid (SU). Skin uptake increased after every new application in 2 h. About 30 mg SAM permeated through an area of pig's skin of 300 cm2 in this time. Plasma levels after whole body bathing of man with PERNIONIN at 36 degrees C were about 0.63 micrograms/g and with Wacholderölbad about 0.37 microgram/g SA. With Wacholderölbad at 38-42 degrees C plasma levels increased to about 1 micrograms/g SA. In 24 h after bathing at 36 degrees C 329 and 304 mg SU were eliminated in urine and after bathing at 38-42 degrees C only 17.8 mg SU. From these SAM baths we found maximal plasma levels of SS in contrast to any other topical applied SS drug. Tissue levels from the application area were higher than the systemic concentration. SAM bathing is one of the most effective methods of local SS application in rheumatology.

Animals↗
PubMed1994

[Bathing a patient with cancer pain treated with continuous epidural blockade--subcutaneous catheter track and Lapack method].

Continuous epidural blockade is considered to be the most useful device for the management of cancer pain. However, it has the disadvantage to compel the patients to restrict their daily activities. We report a unique "Subcutaneous catheter track & Lapack-method" that enabled a patient with epidural catheter to safely bath at home. A 56-year-old male with a local recurrence of rectal cancer was suffering from perineal pain, which was well controlled by oral and epidural morphine. Since his wishing was to bath, we made a long subcutaneous catheter track with Tuohy-needle to prevent infection, and let him bath with transparent film dressings (Bioclusive) and Lapack to tightly cover and seal up the catheter. Although subcutaneous pustule occurred 7 days after the beginning of bathing, it was easily cured by local disinfection. He was able to enjoy bathing without any infection with this method at home for about 2 months after discharge, until he returned to the hospital. "Subcutaneous catheter track & Lapack-method" offers a safe and comfortable bathing to patients with epidural catheter, and contributes to the improvement of their quality of life.

Analgesia, Epidural↗
PubMed1995

[Studies on the deltamethrin-medicated bath of domestic dogs for interrupting visceral leishmaniasis transmission].

In a previous paper, it was reported that deltamethrin-medicated bath of domestic dogs had a strong killing effect against Ph. chinensis, and could also inhibit its blood sucking ability or cause its death shortly after blood sucking. The effect could last for 30 days to 114 days, and mostly for 2 months in the local area. Based on our previous study, three villages (Yongle, Yongfeng, Anle) and a town (Chengguan) were selected from the mountainous region with high incidence of visceral leishmaniasis in Nanping County, northern Sichuan for carrying out an extensive experiment of medicated bathing of domestic dogs, where there were 13 new infected cases in the year of 1991 before the experiment. During the sandfly season in 1992, two rounds of medicated bathing of dogs were conducted, the drug concentration used was 50 ppm. From September 1992 to August 1993, the number of new infected cases was 11 in the above mentioned three villages and a town. Another two rounds of medicated bathing of dogs had been conducted during the sandfly season in 1993. The results show that there was no new infection from September 1993 to October 1994 in the three villages and a town, indicating that through two years' consecutive extensive medicated bathing of dogs in the endemic areas, canine visceral leishmaniasis transmission had been significantly interrupted. The authors consider that in the mountainous region of southern Gansu and northern Sichuan where it has been difficult to treat dogs, it might be more practical to use deltamethrin bathing of dogs for interrupting the transmission of canine visceral leishmaniasis.

Animals↗
PubMed1998

[Effect of a baby whey bath on skin physiology parameters in young children].

Although the skin of babies is very sensitive to irritants and baby baths are widely used in child care, there have been no investigations concerning their efficacy and safety so far. In the presented work we investigate the effect of a baby bath containing 80% and after another 2 weeks of treatment with a whey baby bath. During the study all infants were bathed at a temperature between 35 and 38 degrees C for 5 to 15 min every other day. The results showed a slightly lower skin moisture, a lower skin-pH and after an initial minimal increase a reduction of skin redness values. However, none of the results were statistically significant. The tested baby bath was well tolerated by the babies' skin based on a reduction of skin-pH. In contrast to relatively aggressive soaps we found a protective effect of the tested baby bath on the acid mantle of the skin.

Baths↗
PubMed1988

Dependence of cell membrane conductances on bathing solution HCO3-/CO2 in Necturus gallbladder.

The effects of bathing solution HCO3-/CO2 concentrations on baseline cell membrane voltages and resistances were measured in Necturus gallbladder epithelium with conventional intracellular microelectrode techniques. Gallbladders were bathed in either low HCO3-/CO2 Ringer's solutions (2.4 mM HCO3-/air or 1 mM HEPES/air) or a high HCO3-/CO2 Ringer's (10 mM HCO3-/1% CO2). The principal finding of these studies was that the apical membrane fractional resistance (fRa) was higher in tissues bathed in the 10 mM HCO3-/CO2 Ringer's, averaging 0.87 +/- 0.06, whereas fRa averaged 0.63 +/- 0.07 and 0.48 +/- 0.08 in 2.4 mM HCO3- and 1 mM HEPES, respectively. Intraepithelial cable analysis was employed to obtain estimates of the individual apical (Ra) and basolateral membrane (Rb) resistances in tissues bathed in 10 mM HCO3-/1% CO2 Ringer's. Compared to previous resistance measurements obtained in tissues bathed in a low HCO3-/CO2 Ringer's, the higher value of fRa was found to be due to both an increase in Ra and a decrease in Rb. The higher values of fRa and lower values of Rb confirm the recent observations of others. To ascertain the pathways responsible for these effects, cell membrane voltages were measured during serosal solution K+ and Cl- substitutions. The results of these studies suggest that an electrodiffusive Cl- transport mechanism exists at the basolateral membrane of tissues bathed in a 10 mM HCO3-/1% CO2 Ringer's, which can explain in part the fall in Rb. The above observations are discussed in terms of a stimulatory effect of solution [HCO3-]/PCO2 on transepithelial fluid transport, which results in adaptive changes in the conductive properties of the apical and basolateral membranes.

Animals↗
PubMed2006

Effects of Stanger bath therapy on fibromyalgia.

The purpose of this study was to assess the effectiveness of Stanger bath on the treatment of fibromyalgia (FM). Fifty women with FM were randomly divided into two groups. The first group (n=25) was treated with amitriptyline, 10 mg/day for 8 weeks, and Stanger bath, 20 min daily for ten sessions. The second group (n=25) only had amitriptyline, 10 mg/day for 8 weeks. In the first group the assessment parameters were measured before (t1), at the end (t2), and 2 months after the hydrotherapy (t3). In the second group these parameters were examined before (T1) and 2 months after the treatment (T2). Patients were evaluated by number of tender points and Fibromyalgia Impact Questionnaire (FIQ) scores. There was significant improvement in number of tender points between t1 and t2 (P<0.01) and t1 and t3 (P<0.001) in the Stanger bath group. In addition, there was significant improvement in FIQ scores between t1 and t2 (P<0.001) and t1 and t3 (P<0.01) in the Stanger bath group. In the second group we observed significant improvement in FIQ scores and tender point numbers between T1 and T2 (P=0.00). We did not find any difference between groups in tender point number percent change (p=0.074). However, we observed statistically significant improvement in percent change of FIQ scores in Stanger bath group (-30+/-16.7) when compared to group 2 (-19.3+/-13) (p=0.016). We conclude that Stanger bath therapy when combined with amitriptyline has a long lasting effect and better outcome in FM patients.

Adult↗
PubMed2005

Fungal and enzymatic decolourisation of artificial textile dye baths.

A textile dye Reactive Black 5 was used in screening 25 fungal strains for their decolourising ability. The most promising strains were tested in a medium containing specific constituents of a dye bath in order to approach real application conditions. It was shown that the concentrations of the constituents had to be reduced to allow fungal growth. Decolourisation started in cultures of Geotrichum candidum but was not complete. Only Bjerkandera adusta was able to decolourise the black-blue colour through violet and red to pale yellow. After 17 days spectral absorption coefficients, alpha, at three wavelengths, 620, 525 and 436 nm almost reached the permitted values. A partly purified manganese peroxidase prepared from B. adusta was tested for decolourisation of several artificial dye baths. The constituents seemed not to be inhibitory to the enzyme and no dilution was necessary. Evaluation of decolourisation gave different results, depending on the method used. The most efficient decolourisation on a percentage basis was observed in the dye bath of the anthraquinone dye Reactive Blue 19, followed by the diazo dye Reactive Black 5. However, based on absorbance units, the largest reduction was achieved with the Reactive Black 5 and Acid Orange 7 dye baths. Comparing the alpha values after 120 h fungal and enzymatic treatments of Reactive Black 5 dye bath the enzyme showed about 1.5 times greater colour reduction than the fungus. Given the tolerance to the constituents and concentration of dye baths, the enzyme proved to be a promising tool for their treatment.

Biodegradation, Environmental↗
PubMed2006

Randomized, double-blind comparison of 1 mg/L versus 5 mg/L methoxsalen bath-PUVA therapy for chronic plaque-type psoriasis.

BACKGROUND: Bath-psoralen plus ultraviolet A (PUVA) radiation therapy is increasingly replacing oral PUVA because of its superior short- and long-term safety profile. Several investigations in recent years have led to a refinement of the bath-PUVA protocol; however, the optimal therapeutic concentration of methoxsalen in the bath water has as yet not been delineated. OBJECTIVES: The therapeutic efficacy and tolerability of bath-PUVA by using two different dilutions of methoxsalen (1 mg/L vs 5 mg/L or 0.0001% vs 0.0005%) were compared in 46 patients with chronic plaque-type psoriasis in a prospective, randomized, double-blind study. METHODS: Scores of the Psoriasis Area and Severity Index excluding psoriasis of the head (PASI(TUL)) and the Plaque Severity Index (PSI) were assessed at baseline and at biweekly intervals thereafter until (near)complete clearance or maximal improvement. In addition, methoxsalen plasma levels were determined immediately after the psoralen bath during the first week of treatment and treatment-related side effects were recorded throughout the entire study period. RESULTS: The median baseline PASI(TUL) score decreased from 11.7 (7.5-32.8) to 3.3 (0.6-1.2) (-72%) in the 1 mg/L methoxsalen group and from 10.8 (6.6-20.7) to 1.4 (03.2) (-87%) in the 5 mg/L methoxsalen group (P < .01). The median baseline PSI score decreased from 9 (6-12) to 3.1 (0.6-10) (-66%) in the 1 mg/L methoxsalen group and from 9.3 (7.3-12) to 1.6 (0-3.6) (-83%) in the 5 mg/L methoxsalen group (P < .01). The median cumulative UVA exposure dose was 25.4 (5.3-81.5) J/cm2 for 5 mg/L methoxsalen and 71.9 (20.7-587.3) J/cm2 for 1 mg/L methoxsalen (P = .001). The number of exposures (22 [11-29] vs 23 [11-34]) and treatment duration (43 [19-68] vs 44 [23-66] days) was comparable for both methoxsalen dilutions (P = .97). Median psoralen plasma levels were 0 (0-26) ng/mL after the 1 mg/L and 30 (0-64) ng/mL after the 5 mg/L methoxsalen immersion (P = .001). Mild to moderate adverse events were more common in the 5 mg/L methoxsalen group. LIMITATIONS: The conclusions of this randomized controlled study are limited by the relatively small sample size. CONCLUSIONS: Our data indicate that in bath-PUVA treatment the use of a high (5 mg/L) methoxsalen concentration is substantially more effective in clearing chronic plaque-type psoriasis than a low (1 mg/L) concentration.

Adult↗
PubMed1988

Antipsoriatic, erythematogenic, and Langerhans cell marker depleting effect of bath-psoralens plus ultraviolet A treatment. Comparison of 8-methoxypsoralen and trimethylpsoralen photosensitization.

Successful results have been reported for bath-psoralens plus ultraviolet A (PUVA) treatment of psoriasis with the use of either a low-sensitizing psoralen (methoxsalen) or a high-sensitizing psoralen (trioxsalen), but no evidence has been presented that phototoxicity would be a prerequisite for antipsoriatic activity of these treatments. To study therapeutic-to-phototoxic ratios, bath-PUVA was applied to psoriasis patients with the use of either a 0.2 mg/L solution of trioxsalen or a 0.4 mg/L solution of methoxsalen. The average minimal phototoxic ultraviolet A (UVA) dose (MPD) obtained after 15 minutes' bathing was 0.86 joule/cm2 for trioxsalen and 9.76 joules/cm2 for methoxsalen. In the first part of the study phototoxically equipotent treatment schedules were used, compensating the much lower phototoxic potential of methoxsalen by using about 10 times larger UVA doses compared to the doses used with trioxsalen. A healing rate of 71% +/- 25% was recorded for trioxsalen and 63% +/- 34% for methoxsalen treatment (mean +/- SD). Both PUVA treatments decreased epidermal Langerhans cell counts to 10% to 20% of the control value. In the second part of the study, the much lower phototoxic potential of methoxsalen was not compensated for. Instead, methoxsalen bath-PUVA was carried out with the use of UVA doses physically similar to those used in the trioxsalen therapy series. Surprisingly enough, even this very suberythemal methoxsalen therapy caused a significant healing effect (51% +/- 10%). Langerhans cell depletion in methoxsalen-bathed areas (reduction to 53% of the control value) was much less than that caused in trioxsalen-bathed areas (reduction to 11% of the control value).(ABSTRACT TRUNCATED AT 250 WORDS)

Adenosine Triphosphatases↗
PubMed2005

Local solvent density augmentation around a solute in supercritical solvent bath: 1. A mechanism explanation and a new phenomenon.

A recently proposed partitioned density functional (DF) approximation (Phys. Rev. E 2003, 68, 061201) and an adjustable parameter-free version of a Lagrangian theorem-based DF approximation (LTDFA: Phys. Lett. A 2003, 319, 279) are combined to propose a DF approximation for nonuniform Lennard-Jones (LJ) fluid. Predictions of the present DF approximation for local LJ solvent density inhomogeneity around a large LJ solute particle or hard core Yukawa particle are in good agreement with existing simulation data. An extensive investigation about the effect of solvent bath temperature, solvent-solute interaction range, solvent-solute interaction magnitude, and solute size on the local solvent density inhomogeneity is carried out with the present DF approximation. It is found that a plateau of solvent accumulation number as a function of solvent bath bulk density is due to a coupling between the solvent-solute interaction and solvent correlation whose mathematical expression is a convolution integral appearing in the density profile equation of the DF theory formalism. The coupling becomes stronger as the increasing of the whole solvent-solute interaction strength, solute size relative to solvent size, and the closeness to the critical density and temperature of the solvent bath. When the attractive solvent-solute interaction becomes large enough and the bulk state moves close enough to the critical temperature of the solvent bath, the maximum solvent accumulation number as a function of solvent bath bulk density appears near the solvent bath critical density; the appearance of this maximum is in contrast with a conclusion drawn by a previous investigation based on an inhomogeneous version of Ornstein-Zernike integral equation carried out only for a smaller parameter space than that in the present paper. Advantage of the DFT approach over the integral equation is discussed.

Algorithms↗
PubMed2000

Time course of skin photosensitivity following trimethylpsoralen bath PUVA.

One aspect of bath photochemotherapy (PUVA) that requires clarification is the duration of psoralen-induced cutaneous photosensitisation under conditions simulating clinical use. Using a half back comparison study technique, we investigated the persistence of trimethylpsoralen (TMP)-induced photosensitivity in skin irradiated to simulate a first PUVA exposure compared with un-irradiated skin. Baseline UVA minimal erythema dose and minimal phototoxic dose (MPD) were determined in 13 healthy volunteers. After readings at 72 h, subjects were bathed in TMP bath water for 15 min and one half of the back was immediately exposed to 40% of the MPD. Test sites (1.5 cm2) on both halves of the back were then irradiated with a UVA dose series at 15 min, 5, 10, 24, 34, 48 and 72 h after the bath. MPD readings were recorded visually at 72 h after each UVA exposure. The UVA MED was >25 J/cm2 in all the subjects. At each time point, a phototoxic index (PI) was calculated as UVA MED/MPD. In un-irradiated skin, photosensitivity returned to normal (PI=1) within 24 h after the TMP bath. In contrast, skin pre-irradiated to simulate the first PUVA treatment was still significantly photosensitive (PI=2.3; P=0.002) at 48 h. Contrary to previous recommendations, these data suggest that patients should be advised to avoid ambient or artificial sources of UVA throughout their course of TMP bath PUVA to reduce the risk of phototoxic erythema.

Back↗
PubMed2000

Assessment of minimal phototoxic dose following 8-methoxypsoralen bath: maximal reaction on average after 5 days.

An essential procedure before starting bath psoralen ultraviolet (UV) A (PUVA) photochemotherapy is the evaluation of the minimal phototoxic dose (MPD), which is traditionally assessed 3 days after irradiation. However, there are no controlled studies supporting the 72 h peak of bath-PUVA erythema. The aim of this study was therefore to determine the exact time course of the erythematous reaction in human skin following bath-PUVA. For this purpose, the skin of 10 volunteers was exposed to 0.5-3.0 J/cm2 UVA directly after a 20-min 8-methoxypsoralen bath (0.5 mg/L, 37 degrees C). At 24, 48, 72, 96, 120 and 144 h (1-6 days) after irradiation, the MPD and the erythema sum score (ESS) were determined in each subject. The results showed a maximal erythematous reaction on average 5 days after irradiation. The mean MPD gradually decreased from day 2 (> 3.0 J/cm2) to day 5 (mean +/- SD 1.15 +/- 0.63 J/cm2) and started to increase at day 6 (mean +/- SD 1.6 +/- 0.52 J/cm2). The mean +/- SD ESS correspondingly increased from day 2 (0 +/- 0) to day 5 (10.5 +/- 3. 7) with a decrease at day 6 (7.5 +/- 3.1) (difference between day 3 and beyond statistically significant at P < 0.05). As our study indicates a maximal erythematous reaction to the bath-PUVA up to 5 days after irradiation, the traditional MPD assessment at 3 days generates a risk of phototoxic side-effects within the phototherapy course by underestimating the phototoxic effect in some patients. These findings contribute towards a more defined understanding of the kinetics of the phototoxic reaction in bath-PUVA therapy.

Adult↗