An update and guidance on narrowband ultraviolet B phototherapy: a British Photodermatology Group Workshop Report

Authors

  • S.H. Ibbotson,

    1. Photobiology Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY, U.K.
      *Department of Dermatology, Southern General Hospital, Glasgow G51 4TF, U.K.
      †Department of Dermatology, Cumberland Infirmary, Carlisle CA2 7HY, U.K.
      ‡Regional Medical Physics Department, Newcastle General Hospital, Newcastle upon Tyne NE4 6BE, U.K.
      §Department of Dermatology, Royal Gwent Hospital, Newport NP9 2UB, U.K.
      ¶Department of Dermatology and ‡‡Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, U.K.
      **Medical Physics Department, Bradford Royal Infirmary, Bradford BD9 6RJ, U.K.
      ††Department of Environmental Dermatology, St Thomas' Hospital, London SE1 7EH, U.K.
      §§Department of Health Physics, West House, Gartnavel Royal Hospital, Glasgow G12 0XH, U.K.
      ¶¶Department of Dermatology, Belfast City Hospital, Belfast BT16 1RH, U.K.
      ***Photobiology Unit, Dermatology Centre, Hope Hospital, Manchester M6 8HD, U.K.
      †††Medical Physics Department, Gloucestershire Royal Hospital, Gloucester GL1 3NN, U.K.
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  • D. Bilsland,

    1. Photobiology Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY, U.K.
      *Department of Dermatology, Southern General Hospital, Glasgow G51 4TF, U.K.
      †Department of Dermatology, Cumberland Infirmary, Carlisle CA2 7HY, U.K.
      ‡Regional Medical Physics Department, Newcastle General Hospital, Newcastle upon Tyne NE4 6BE, U.K.
      §Department of Dermatology, Royal Gwent Hospital, Newport NP9 2UB, U.K.
      ¶Department of Dermatology and ‡‡Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, U.K.
      **Medical Physics Department, Bradford Royal Infirmary, Bradford BD9 6RJ, U.K.
      ††Department of Environmental Dermatology, St Thomas' Hospital, London SE1 7EH, U.K.
      §§Department of Health Physics, West House, Gartnavel Royal Hospital, Glasgow G12 0XH, U.K.
      ¶¶Department of Dermatology, Belfast City Hospital, Belfast BT16 1RH, U.K.
      ***Photobiology Unit, Dermatology Centre, Hope Hospital, Manchester M6 8HD, U.K.
      †††Medical Physics Department, Gloucestershire Royal Hospital, Gloucester GL1 3NN, U.K.
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  • N.H. Cox,

    1. Photobiology Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY, U.K.
      *Department of Dermatology, Southern General Hospital, Glasgow G51 4TF, U.K.
      †Department of Dermatology, Cumberland Infirmary, Carlisle CA2 7HY, U.K.
      ‡Regional Medical Physics Department, Newcastle General Hospital, Newcastle upon Tyne NE4 6BE, U.K.
      §Department of Dermatology, Royal Gwent Hospital, Newport NP9 2UB, U.K.
      ¶Department of Dermatology and ‡‡Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, U.K.
      **Medical Physics Department, Bradford Royal Infirmary, Bradford BD9 6RJ, U.K.
      ††Department of Environmental Dermatology, St Thomas' Hospital, London SE1 7EH, U.K.
      §§Department of Health Physics, West House, Gartnavel Royal Hospital, Glasgow G12 0XH, U.K.
      ¶¶Department of Dermatology, Belfast City Hospital, Belfast BT16 1RH, U.K.
      ***Photobiology Unit, Dermatology Centre, Hope Hospital, Manchester M6 8HD, U.K.
      †††Medical Physics Department, Gloucestershire Royal Hospital, Gloucester GL1 3NN, U.K.
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  • R.S. Dawe,

    1. Photobiology Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY, U.K.
      *Department of Dermatology, Southern General Hospital, Glasgow G51 4TF, U.K.
      †Department of Dermatology, Cumberland Infirmary, Carlisle CA2 7HY, U.K.
      ‡Regional Medical Physics Department, Newcastle General Hospital, Newcastle upon Tyne NE4 6BE, U.K.
      §Department of Dermatology, Royal Gwent Hospital, Newport NP9 2UB, U.K.
      ¶Department of Dermatology and ‡‡Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, U.K.
      **Medical Physics Department, Bradford Royal Infirmary, Bradford BD9 6RJ, U.K.
      ††Department of Environmental Dermatology, St Thomas' Hospital, London SE1 7EH, U.K.
      §§Department of Health Physics, West House, Gartnavel Royal Hospital, Glasgow G12 0XH, U.K.
      ¶¶Department of Dermatology, Belfast City Hospital, Belfast BT16 1RH, U.K.
      ***Photobiology Unit, Dermatology Centre, Hope Hospital, Manchester M6 8HD, U.K.
      †††Medical Physics Department, Gloucestershire Royal Hospital, Gloucester GL1 3NN, U.K.
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  • B. Diffey,

    1. Photobiology Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY, U.K.
      *Department of Dermatology, Southern General Hospital, Glasgow G51 4TF, U.K.
      †Department of Dermatology, Cumberland Infirmary, Carlisle CA2 7HY, U.K.
      ‡Regional Medical Physics Department, Newcastle General Hospital, Newcastle upon Tyne NE4 6BE, U.K.
      §Department of Dermatology, Royal Gwent Hospital, Newport NP9 2UB, U.K.
      ¶Department of Dermatology and ‡‡Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, U.K.
      **Medical Physics Department, Bradford Royal Infirmary, Bradford BD9 6RJ, U.K.
      ††Department of Environmental Dermatology, St Thomas' Hospital, London SE1 7EH, U.K.
      §§Department of Health Physics, West House, Gartnavel Royal Hospital, Glasgow G12 0XH, U.K.
      ¶¶Department of Dermatology, Belfast City Hospital, Belfast BT16 1RH, U.K.
      ***Photobiology Unit, Dermatology Centre, Hope Hospital, Manchester M6 8HD, U.K.
      †††Medical Physics Department, Gloucestershire Royal Hospital, Gloucester GL1 3NN, U.K.
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  • C. Edwards,

    1. Photobiology Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY, U.K.
      *Department of Dermatology, Southern General Hospital, Glasgow G51 4TF, U.K.
      †Department of Dermatology, Cumberland Infirmary, Carlisle CA2 7HY, U.K.
      ‡Regional Medical Physics Department, Newcastle General Hospital, Newcastle upon Tyne NE4 6BE, U.K.
      §Department of Dermatology, Royal Gwent Hospital, Newport NP9 2UB, U.K.
      ¶Department of Dermatology and ‡‡Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, U.K.
      **Medical Physics Department, Bradford Royal Infirmary, Bradford BD9 6RJ, U.K.
      ††Department of Environmental Dermatology, St Thomas' Hospital, London SE1 7EH, U.K.
      §§Department of Health Physics, West House, Gartnavel Royal Hospital, Glasgow G12 0XH, U.K.
      ¶¶Department of Dermatology, Belfast City Hospital, Belfast BT16 1RH, U.K.
      ***Photobiology Unit, Dermatology Centre, Hope Hospital, Manchester M6 8HD, U.K.
      †††Medical Physics Department, Gloucestershire Royal Hospital, Gloucester GL1 3NN, U.K.
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  • P.M. Farr,

    1. Photobiology Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY, U.K.
      *Department of Dermatology, Southern General Hospital, Glasgow G51 4TF, U.K.
      †Department of Dermatology, Cumberland Infirmary, Carlisle CA2 7HY, U.K.
      ‡Regional Medical Physics Department, Newcastle General Hospital, Newcastle upon Tyne NE4 6BE, U.K.
      §Department of Dermatology, Royal Gwent Hospital, Newport NP9 2UB, U.K.
      ¶Department of Dermatology and ‡‡Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, U.K.
      **Medical Physics Department, Bradford Royal Infirmary, Bradford BD9 6RJ, U.K.
      ††Department of Environmental Dermatology, St Thomas' Hospital, London SE1 7EH, U.K.
      §§Department of Health Physics, West House, Gartnavel Royal Hospital, Glasgow G12 0XH, U.K.
      ¶¶Department of Dermatology, Belfast City Hospital, Belfast BT16 1RH, U.K.
      ***Photobiology Unit, Dermatology Centre, Hope Hospital, Manchester M6 8HD, U.K.
      †††Medical Physics Department, Gloucestershire Royal Hospital, Gloucester GL1 3NN, U.K.
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  • J. Ferguson,

    1. Photobiology Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY, U.K.
      *Department of Dermatology, Southern General Hospital, Glasgow G51 4TF, U.K.
      †Department of Dermatology, Cumberland Infirmary, Carlisle CA2 7HY, U.K.
      ‡Regional Medical Physics Department, Newcastle General Hospital, Newcastle upon Tyne NE4 6BE, U.K.
      §Department of Dermatology, Royal Gwent Hospital, Newport NP9 2UB, U.K.
      ¶Department of Dermatology and ‡‡Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, U.K.
      **Medical Physics Department, Bradford Royal Infirmary, Bradford BD9 6RJ, U.K.
      ††Department of Environmental Dermatology, St Thomas' Hospital, London SE1 7EH, U.K.
      §§Department of Health Physics, West House, Gartnavel Royal Hospital, Glasgow G12 0XH, U.K.
      ¶¶Department of Dermatology, Belfast City Hospital, Belfast BT16 1RH, U.K.
      ***Photobiology Unit, Dermatology Centre, Hope Hospital, Manchester M6 8HD, U.K.
      †††Medical Physics Department, Gloucestershire Royal Hospital, Gloucester GL1 3NN, U.K.
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  • G. Hart,

    1. Photobiology Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY, U.K.
      *Department of Dermatology, Southern General Hospital, Glasgow G51 4TF, U.K.
      †Department of Dermatology, Cumberland Infirmary, Carlisle CA2 7HY, U.K.
      ‡Regional Medical Physics Department, Newcastle General Hospital, Newcastle upon Tyne NE4 6BE, U.K.
      §Department of Dermatology, Royal Gwent Hospital, Newport NP9 2UB, U.K.
      ¶Department of Dermatology and ‡‡Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, U.K.
      **Medical Physics Department, Bradford Royal Infirmary, Bradford BD9 6RJ, U.K.
      ††Department of Environmental Dermatology, St Thomas' Hospital, London SE1 7EH, U.K.
      §§Department of Health Physics, West House, Gartnavel Royal Hospital, Glasgow G12 0XH, U.K.
      ¶¶Department of Dermatology, Belfast City Hospital, Belfast BT16 1RH, U.K.
      ***Photobiology Unit, Dermatology Centre, Hope Hospital, Manchester M6 8HD, U.K.
      †††Medical Physics Department, Gloucestershire Royal Hospital, Gloucester GL1 3NN, U.K.
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  • J. Hawk,

    1. Photobiology Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY, U.K.
      *Department of Dermatology, Southern General Hospital, Glasgow G51 4TF, U.K.
      †Department of Dermatology, Cumberland Infirmary, Carlisle CA2 7HY, U.K.
      ‡Regional Medical Physics Department, Newcastle General Hospital, Newcastle upon Tyne NE4 6BE, U.K.
      §Department of Dermatology, Royal Gwent Hospital, Newport NP9 2UB, U.K.
      ¶Department of Dermatology and ‡‡Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, U.K.
      **Medical Physics Department, Bradford Royal Infirmary, Bradford BD9 6RJ, U.K.
      ††Department of Environmental Dermatology, St Thomas' Hospital, London SE1 7EH, U.K.
      §§Department of Health Physics, West House, Gartnavel Royal Hospital, Glasgow G12 0XH, U.K.
      ¶¶Department of Dermatology, Belfast City Hospital, Belfast BT16 1RH, U.K.
      ***Photobiology Unit, Dermatology Centre, Hope Hospital, Manchester M6 8HD, U.K.
      †††Medical Physics Department, Gloucestershire Royal Hospital, Gloucester GL1 3NN, U.K.
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  • J. Lloyd,

    1. Photobiology Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY, U.K.
      *Department of Dermatology, Southern General Hospital, Glasgow G51 4TF, U.K.
      †Department of Dermatology, Cumberland Infirmary, Carlisle CA2 7HY, U.K.
      ‡Regional Medical Physics Department, Newcastle General Hospital, Newcastle upon Tyne NE4 6BE, U.K.
      §Department of Dermatology, Royal Gwent Hospital, Newport NP9 2UB, U.K.
      ¶Department of Dermatology and ‡‡Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, U.K.
      **Medical Physics Department, Bradford Royal Infirmary, Bradford BD9 6RJ, U.K.
      ††Department of Environmental Dermatology, St Thomas' Hospital, London SE1 7EH, U.K.
      §§Department of Health Physics, West House, Gartnavel Royal Hospital, Glasgow G12 0XH, U.K.
      ¶¶Department of Dermatology, Belfast City Hospital, Belfast BT16 1RH, U.K.
      ***Photobiology Unit, Dermatology Centre, Hope Hospital, Manchester M6 8HD, U.K.
      †††Medical Physics Department, Gloucestershire Royal Hospital, Gloucester GL1 3NN, U.K.
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  • C. Martin,

    1. Photobiology Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY, U.K.
      *Department of Dermatology, Southern General Hospital, Glasgow G51 4TF, U.K.
      †Department of Dermatology, Cumberland Infirmary, Carlisle CA2 7HY, U.K.
      ‡Regional Medical Physics Department, Newcastle General Hospital, Newcastle upon Tyne NE4 6BE, U.K.
      §Department of Dermatology, Royal Gwent Hospital, Newport NP9 2UB, U.K.
      ¶Department of Dermatology and ‡‡Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, U.K.
      **Medical Physics Department, Bradford Royal Infirmary, Bradford BD9 6RJ, U.K.
      ††Department of Environmental Dermatology, St Thomas' Hospital, London SE1 7EH, U.K.
      §§Department of Health Physics, West House, Gartnavel Royal Hospital, Glasgow G12 0XH, U.K.
      ¶¶Department of Dermatology, Belfast City Hospital, Belfast BT16 1RH, U.K.
      ***Photobiology Unit, Dermatology Centre, Hope Hospital, Manchester M6 8HD, U.K.
      †††Medical Physics Department, Gloucestershire Royal Hospital, Gloucester GL1 3NN, U.K.
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  • H. Moseley,

    1. Photobiology Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY, U.K.
      *Department of Dermatology, Southern General Hospital, Glasgow G51 4TF, U.K.
      †Department of Dermatology, Cumberland Infirmary, Carlisle CA2 7HY, U.K.
      ‡Regional Medical Physics Department, Newcastle General Hospital, Newcastle upon Tyne NE4 6BE, U.K.
      §Department of Dermatology, Royal Gwent Hospital, Newport NP9 2UB, U.K.
      ¶Department of Dermatology and ‡‡Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, U.K.
      **Medical Physics Department, Bradford Royal Infirmary, Bradford BD9 6RJ, U.K.
      ††Department of Environmental Dermatology, St Thomas' Hospital, London SE1 7EH, U.K.
      §§Department of Health Physics, West House, Gartnavel Royal Hospital, Glasgow G12 0XH, U.K.
      ¶¶Department of Dermatology, Belfast City Hospital, Belfast BT16 1RH, U.K.
      ***Photobiology Unit, Dermatology Centre, Hope Hospital, Manchester M6 8HD, U.K.
      †††Medical Physics Department, Gloucestershire Royal Hospital, Gloucester GL1 3NN, U.K.
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  • K. McKenna,

    1. Photobiology Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY, U.K.
      *Department of Dermatology, Southern General Hospital, Glasgow G51 4TF, U.K.
      †Department of Dermatology, Cumberland Infirmary, Carlisle CA2 7HY, U.K.
      ‡Regional Medical Physics Department, Newcastle General Hospital, Newcastle upon Tyne NE4 6BE, U.K.
      §Department of Dermatology, Royal Gwent Hospital, Newport NP9 2UB, U.K.
      ¶Department of Dermatology and ‡‡Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, U.K.
      **Medical Physics Department, Bradford Royal Infirmary, Bradford BD9 6RJ, U.K.
      ††Department of Environmental Dermatology, St Thomas' Hospital, London SE1 7EH, U.K.
      §§Department of Health Physics, West House, Gartnavel Royal Hospital, Glasgow G12 0XH, U.K.
      ¶¶Department of Dermatology, Belfast City Hospital, Belfast BT16 1RH, U.K.
      ***Photobiology Unit, Dermatology Centre, Hope Hospital, Manchester M6 8HD, U.K.
      †††Medical Physics Department, Gloucestershire Royal Hospital, Gloucester GL1 3NN, U.K.
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  • L.E. Rhodes,

    1. Photobiology Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY, U.K.
      *Department of Dermatology, Southern General Hospital, Glasgow G51 4TF, U.K.
      †Department of Dermatology, Cumberland Infirmary, Carlisle CA2 7HY, U.K.
      ‡Regional Medical Physics Department, Newcastle General Hospital, Newcastle upon Tyne NE4 6BE, U.K.
      §Department of Dermatology, Royal Gwent Hospital, Newport NP9 2UB, U.K.
      ¶Department of Dermatology and ‡‡Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, U.K.
      **Medical Physics Department, Bradford Royal Infirmary, Bradford BD9 6RJ, U.K.
      ††Department of Environmental Dermatology, St Thomas' Hospital, London SE1 7EH, U.K.
      §§Department of Health Physics, West House, Gartnavel Royal Hospital, Glasgow G12 0XH, U.K.
      ¶¶Department of Dermatology, Belfast City Hospital, Belfast BT16 1RH, U.K.
      ***Photobiology Unit, Dermatology Centre, Hope Hospital, Manchester M6 8HD, U.K.
      †††Medical Physics Department, Gloucestershire Royal Hospital, Gloucester GL1 3NN, U.K.
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  • D.K. Taylor

    1. Photobiology Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY, U.K.
      *Department of Dermatology, Southern General Hospital, Glasgow G51 4TF, U.K.
      †Department of Dermatology, Cumberland Infirmary, Carlisle CA2 7HY, U.K.
      ‡Regional Medical Physics Department, Newcastle General Hospital, Newcastle upon Tyne NE4 6BE, U.K.
      §Department of Dermatology, Royal Gwent Hospital, Newport NP9 2UB, U.K.
      ¶Department of Dermatology and ‡‡Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, U.K.
      **Medical Physics Department, Bradford Royal Infirmary, Bradford BD9 6RJ, U.K.
      ††Department of Environmental Dermatology, St Thomas' Hospital, London SE1 7EH, U.K.
      §§Department of Health Physics, West House, Gartnavel Royal Hospital, Glasgow G12 0XH, U.K.
      ¶¶Department of Dermatology, Belfast City Hospital, Belfast BT16 1RH, U.K.
      ***Photobiology Unit, Dermatology Centre, Hope Hospital, Manchester M6 8HD, U.K.
      †††Medical Physics Department, Gloucestershire Royal Hospital, Gloucester GL1 3NN, U.K.
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Sally H. Ibbotson.
E-mail: s.h.ibbotson@dundee.ac.uk

Abstract

Summary These guidelines for use of narrowband (TL-01) ultraviolet B have been prepared for dermatologists by the British Photodermatology Group on behalf of the British Association of Dermatologists. They present evidence-based guidance for treatment of patients with a variety of dermatoses and photodermatoses, with identification of the strength of evidence available at the time of preparation of the guidelines, and a brief overview of background photobiology.

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