Only land-based exercise showed some improvement in pain and muscle strength compared with the control group, while no clinical benefits were detectable after aquatic exercise compared with the control group. However, aquatic exercise has significantly less adverse effects compared with a land-based programme.
Four men with long-standing chronic actinic dermatitis were treated with a modified PUVA regime which initially included generalized applications of topical steroids given immediately after PUVA exposure. All patients are now free of rash, no longer need protection from UV radiation, and are being maintained on twice monthly PUVA therapy (IO J/cm2).
Dithranol in yellow soft paraffin with 2% salicylic acid was applied daily (increasing concentrations from 0.2% to 5%) for 1 hour to twenty consecutive patients with diffuse psoriasis. The ointment was then washed off and patients were irradiated with 10 J cm-2 of UV-A radiation since the absorption spectrum of dithranol is maximum in the UV-A waveband. The median clearance time was 14 days (range 7-39 days). No dressings were required. The patients were allowed to apply an emollient if the skin became dry.
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