Background: Phototherapy is an important
modality in dermatology and the number of
skin diseases which can be controlled with it
IS mcreasmg. In order to start treatment, the
first DOSE of phototherapy is determined by
measurement of minimal erythema DOSE
(MED) in each patient individually or
according to patient"s skin type.
Objective: To determine the relationship of
skin type with MED in patients under UV
phototherapy referred to Razi Hospital in
Tehran
Patients and Methods: In patients referred to
Razi Hospital in 1381(2002-2003) for UVB
phototherapy, skin type was determined
according to Fitzpatrick"s classification and
MED was measured using a UV-meter. Age,
sex and the disease of the patients were also
recorded. The data were analysed using one
way ANOVA and Welch tests.
Results: Eighty patients including 39 males
and 41 females were studied. The mean age of
the patients was 32 years (SD=15.8). Their
diseases include psonasls, vitiligo,
parapsoriasis, pityriasis lichenoides chronica,
perforating disorder and patch stage mycosis
fungoides. The mean of MED in 17patients
with skin type Il was 111.8±39.2, in 42
patients with skin type III was 105.9±43.1
and in 21 patients with skin type IV was
l14.3±39.2 mJ/cm2 , with no significant
statistical difference.
Conclusion: The first DOSE of phototherapy
could not be determined based on skin type
and measurement of MED is necessary in
each patient.