One major limitation of the presented case is that there is a lack of a control arm and, therefore, it is difficult to predict whether the majority of the improvement in psoriasis was attributable to the excimer laser or to clobetasol spray. Gerber, W. British Journal of Dermatology, December 2003; vol 149: pp 1250-1258. People with psoriasis should weigh these risks against potential benefits while comparing the potential effectiveness of different treatment options. What is Psoriasis? In research involving people with palmoplantar pustular psoriasis, which can make it hard to use the hands and feet, 64% of participants who underwent excimer laser therapy experienced an improvement of 70% or more. Overall, the 308 nm Excimer laser enables not only a more effective and safer UVB therapy than classical UV phototherapy, but also targeted irradiation in higher doses with a lower cumulative … During the procedure, you will be given dark goggles to protect your eyes. However, they may include: If blisters form, a person should leave them to dry out and not pop them. All of these treatments work well, but medications can have side effects and light therapy requires a regimen of three sessions a week for two to three months followed by maintenance therapy. It is best to check with the dermatology office performing the laser treatment first to understand their protocol. Excimer lasers aim a high intensity ultraviolet B (UVB) light dose of a very specific wavelength -- 308 nanometers -- directly at the psoriasis plaques. PDL treatment targets specific substances, which selectively absorb energy from the laser. Treatments available include special drugs known as biologics and exposure…, © 2004-2021 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. It often affects the scalp, elbows, … This laser concentrates a single band of ultraviolet B (UVB) light on psoriasis lesions. Because laser treatment for psoriasis is still a relatively new therapy, research is still underway to confirm its effectiveness. The handheld laser wands are also good for reaching psoriasis in hard-to-treat areas, such as the elbows, knees, palms of the hands, soles of the feet, and scalp. Optimized speed and performance come … Light therapy, including treatment with an XTRAC excimer laser, may help reduce the symptoms of psoriasis. Trehan, M. Journal of the American Academy of Dermatology, November 2002; vol 45: pp 701-708. How It Works. It is not a first-line treatment for psoriasis, but there is evidence to suggest that it can help reduce or remove skin symptoms. In the following sections, we cover the risks and benefits of XTRAC laser therapy. Other treatments to try include: Biologic drugs: Biologics appear to work by targeting the dysregulation in the immune system that occurs in psoriasis. Before the appointment, do not apply anything to the skin areas that the procedure will be targeting. There is no cure, but treatment can help a person manage and improve their symptoms. The laser uses a highly concentrated form of ultraviolet (UV) B light to attack the DNA of T cells. The length of treatment depends on the area of the body that needs it. Psoriasis … Psoriasis: Should You Avoid Certain Foods? Psoriasis (Pharos Excimer Laser) Q & A. About 7.5 million people in the U.S. Get the facts. British Journal of Dermatology, November 2005; vol 153: pp 960-966. Light from the device causes these molecules to emit radiation. It may also be worth avoiding certain medications and working to lower the risk of infections. Relatively well tolerated: The side effects of excimer lasers tend to be minimal, and treatment is not usually painful. Jaclyn S. Smith, B.S. We use this device frequently in the Camisa Psoriasis Center to treat resistant smaller areas of psoriasis … The Food and Drug Administration (FDA) have approved XTRAC to treat psoriasis and … Dane Hill, M.D. Laser therapy is generally safe, but some people have reported side effects after treatment, including: More research is needed to determine whether exposure to UVB light from the excimer laser might increase the long-term risk for skin cancer. The clobetasol spray alone may have induced the significant improvements in psoriasis, as the patient had not used cl… It generally takes between 4 and 10 treatments to see a tangible improvement. Psoriasis is a hereditary disorder characterized by itchy or painful thick, red, scaly patches of skin. WebMD does not provide medical advice, diagnosis or treatment. Can treat several forms of psoriasis affects only small areas of the plaques of skin UV. 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