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Abstract
Editorial comment
Dr Lawrence Khoo and Dr Charles Taylor have reviewed the literature concerning ultraviolet light therapy for atopic dermatitis including conventional broad-band UVB, UVA, UVA-1 and narrow-band UVB. They have also examined the evidence for treatment of eczema with PUVA and ambient sunlight. This detailed review serves to bring residents and trainees up-to-date with the various phototherapies used to treat atopic eczema and in particular places narrow-band UVB firmly within this repertoire of therapies. Narrow-band UVB phototherapy has moved from being a research based phototherapy offered in a small number of specialized photodermatology units in Europe to being widely available in phototherapy units throughout the world. This rapid development is a reflection of the obvious efficacy of narrow-band UVB in the treatment of psoriasis and has close parallels with the development of PUVA. As with PUVA there is now accumulating evidence that narrow-band UVB phototherapy has a role in the treatment of recalcitrant cases of atopic dermatitis.