IJPR.2017.154
Type of Article: Original Research
Volume 5; Issue 3 (June 2017)
Page No.: 2113-2118
DOI: https://dx.doi.org/10.16965/ijpr.2017.154
POLARIZED LIGHT: A CONSERVATIVE THERAPEUTIC APPROACH TO CHRONIC HAND ECZEMA
Hany M. I. Elgohary *1, Hadaya M. R. Eladl 1, Ibrahim E. Abdelzaher 2.
*1 Department of Physical Therapy for Surgery ,Faculty of Physical Therapy, Cairo University, El-Tahrir st. Dokki – Giza, P.O.Box 11432, Egypt. Tel: 00201001344332
2 Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Aljouf University, Sakaka, P.O. 2014, Kingdom of Saudi Arabia. Tel: 00966590997821
Author for Correspondence: Dr. Hany M. I. Elgohary PhD PT, Department of Physical Therapy for Surgery ,Faculty of Physical Therapy, Cairo University, El-Tahrir st. Dokki – Giza, Giza, P.O.Box 11432, Egypt.Tel:00201001344332 E-Mail: gohary75pt@hotmail.com
ABSTRACT
Background and aim: the use of polarized light as conservative noninvasive treatment for wounds and skin diseases has been grown and spread in the medical field because of its benefits to overcome inflammatory conditions with no side effects or hazards. The aim of study was to evaluate the efficiency of polarized light in the treatment of chronic hand eczema as conservative treatment.
Subjects: Fifty participants of (28 males & 22 females) with chronic hand eczema affecting palmar or dorsal hands enrolled randomly into two equal groups; experimental group received polarized light 6 sessions per week for 6 successive weeks and topical Calcipotriol (Daivonex) in the morning and Clobetasol (Dermovate) in the evening while control group received sham polarized light and topical Calcipotriol (Daivonex) in the morning and Clobetasol (Dermovate) in the evening for the same period of time. Intensity, extent of disease and skin thickness were measured before and after the treatment by hand eczema severity index and ultrasonography respectively.
Results: the results of this study revealed that there were significant differences between both groups of the study in favor of the experimental group regarding results after the treatment protocol.
Conclusion: polarized light has a potential effect in decreasing skin thickness, intensity and extent of chronic hand eczema after 6 weeks of treatment.
Key words: Polarized light, Chronic hand eczema, Skin thickness.
REFERENCES
- Bissonnette R, Diepgen TL, Elsner P, English J, Graham-Brown R, Homey B, Luger T, Lynde C, Maares J, Maibach HI.Redefining treatment options in chronic hand eczema (CHE). Journal of European Academy of Dermatoylogy and Venerology 2010;24:1–20.
- Fowler JF, Ghosh A, Sung J, Emani S, Chang J, Den E, Thorn D, Person J, Duh MS. Impact of chronic hand dermatitis on quality of life, work productivity, activity impairment, and medical costs. Journal of the American Academy of Dermatology. 2006; HYPERLINK http://www.sciencedirect.com/science?_ob=PublicationURL&_tockey=%23TOC%236928%232006%23999459996%23616990%23FLA%23&_cdi=6928&_pubType=J&view=c&_auth=y&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=08b63926b423579436090f549322420154:448-457.
- Charan UP, Peter CV, Pulimood SA. Impact of hand eczema severity on quality of life. Indian Dermatology Online Journal. 2013;4:102-105.
- Lampel HP , Patel N, Boyse K, O’Brien SH, Zirwas MJ. Prevalence of hand dermatitis in inpatient nurses at a United States hospital. Dermatitis. 2007; 18: 140–142.
- Perry AD, Trafeli JP. Hand Dermatitis: Review of Etiology, Diagnosis, and Treatment. Journal of American Board of Family Medicine. 2009;22:325-330.
- Paulden M , Rodgers M, Griffin S, Slack R, Duffy S, Ingram JR, Woolacott N, Sculpher M. Alitretinoin for the treatment of severe chronic hand eczema. Health Technology Assessment. 2009;14:39-46.
- Lim JL , Stern RS. High levels of ultraviolet B exposure increase the risk of non-melanoma skin cancer in psoralen and ultraviolet A-treated patients. Journal of Investigative Dermatology. 2005;124:505-513.
- Stern RS The risk of melanoma in association with long-term exposure to PUVA. Journal of the American Academy of Dermatology. 2001;44:755–761.
- Choi M,Na SY, Cho S, Lee JH. Low Level Light Could Work on Skin Inflammatory Disease: A Case Report on Refractory Acrodermatitis Continua. Journal Korean Medicine Science. 2011;26:454–456.
- Medenica L, and Lens M. The use of polarized polychromatic non coherent light alone as a therapy for venous leg ulceration. Journal of wound care. 2003;12:37-40.
- Durović A, Marić D, Brdareski Z, Jevtić M, Durdević S. The effects of polarized light therapy in pressure ulcer healing, Vojnosanitetski Pregled. 2008;65:906–912.
- Monstrey S, Hoeksema H, Depuydt K, Van Maele G Van Landuyt K, Blondeel P. The effect of polarized light on wound healing. European Journal of Plastic Surgery. 2002;24:377-382.
- Beissert S and Schwarz T. Role of immunomodulation in diseases responsive to phototherapy. Methods. 2002;28:138-144.
- Colic M, Vidojkovic N, Jovanovic M, Lazovic G. The use of polarized light in aesthetic surgery. Aesthetic Plastic Surgery. 2004;28:324-27.
- Young S, Bolton P, Dyson M, Harvey W, Diamantopoulos C. Macrophage responsiveness to light therapy. Lasers Surgery and Medicine. 1989;9:497-505.
- Zhevago NA, Samoilova KA. Pro- and anti-inflammatory cytokine content in human peripheral blood after its transcutaneous (in vivo) and direct (in vitro) irradiation with polychromatic visible and infrared light. Photomedicine and Laser Surgery. 2006;24:129-139.
- Held E, Skoet R, Johansen JD, Agner T. The hand eczema severity index (HECSI): a scoring system for clinical assessment of hand eczema. A study of inter- and intra-observer reliability. British Journal of Dermatology. 2005;152:302-307.
- Jasaitiene D, Valiukeviciene S, Linkeviciute G, Raisutis R, Jasiuniene E, Kazys R. Principles of high-frequency ultrasonography for investigation of skin pathology. Journal of the European Academy of Dermatology and Venereology. 2011;25:375-382.
- Polańska A, Silny W, Jenerowicz D, Knioła K, Molińska-Glura M, Dańczak-Pazdrowska A. Monitoring of therapy in atopic dermatitis–observations with the use of high-frequency ultrasonography. Skin Research and Technology. 2015;21:35-40.
- Chami L, Lassau N, Chebil M, Robert C. Imaging of melanoma: usefulness of ultrasonography before and after contrast injection for diagnosis and early evaluation of treatment. Clinical, Cosmetics and Investigational Dermatology. 2011;l4:1-6.
- Medrado AP, Soares AP, Santos ET, Reis SR, Andrade ZA. Influence of laser photobiomodulation upon connective tissue remodeling during wound healing. Journal Photochemistry Photobiology B, Biology. 2008;92:144–152.
- Pereira MC, de Pinho CB, Medrado AR, Andrade Zde A, Reis SR. Influence of 670 nm low-level laser therapy on mast cells and vascular response of cutaneous injuries. Journal Photochemistry Photobiology B, Biology. 2010;98:188–192.
- Hass HL. Therapeutic potentials of the Bioptron light: treatment of disorders in wound healing. Krankepfl Journal. 1998;36:451-3.
- Lee BH, Kim HO, Han H J, Houh, W. Phototherapy of acne vulgaris with low level narrow band red light (680 nm). Korean Journal of Dermatology. 2004;42:1566–1573.
- Fenyo M, Mandl J, Falus A. Opposite effect of linearly polarized light on biosynthesis of interleukin-6 in a human B lymphoid cell line and peripheral human monocytes. Cell Biology International. 2002;26:265-269.