New applications of. UVA-1cold light therapy
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1 New applications of UVA-1cold light therapy
2 Polderman, Marloes Christina Abichael New applications ofuva-1cold light therapy/marloes C.A.Polderman PhD Thesis, Leiden University-W ith references -W ith summaryin Dutch ISBN-10: X ISBN-13: M.C.A.Polderman, Leiden 2006 Cover illustration bypaul Douw van der Krap;detail UVA-1light tubes Printed bypasmans OffsetdrukkerijBV, s-gravenhage All rights reserved.no part ofthis publication maybe reproduced in anyform without the written permission ofthe copyright owner.
3 New applications of UVA-1 cold light therapy Proefschrift ter verkrijging van de graad van Doctor aan de Universiteit Leiden, op gezag van de Rector Magnificus Dr. D.D. Breimer, hoogleraar in de faculteit der Wiskunde en Natuurwetenschappen en die der Geneeskunde, volgens besluit van het College voor Promoties te verdedigen op woensdag 26 april 2006 te klokke uur door M arloes Christina Abichael Polderman geboren te Leiden in 1971
4 Promotiecommissie Promotor: Co-promotor: Referent: Overige leden: Prof. Dr. R. Willemze Dr. S. Pavel Dr. M.A. de Rie (Universiteit van Amsterdam). Prof. Dr. T.W.J. Huizinga Prof. Dr. M.R. Daha Prof. Dr. Ir. A.A. van Zeeland Studies described in this thesis were financially supported by Het Nationaal Reumafonds (chapters 5 and 6) Publication of this thesis was financially supported by Astellas Pharma, Bio Sun Sylt GmbH, Fagron, Flebologisch Centrum Oosterwal polikliniek voor Dermatologie en Flebologie, Galderma, Glaxo Smith Kline, Intec, La Roche Posay, Leo Pharma B.V., Louis Widmer Nederland, Novartis, Pharmadeal B.V., Schering-Plough B.V., Sebamed, Van der Bend, Wyeth Pharmaceuticals
5 Verlichting is het zegevieren van de mens over zijn zelfverkozen onmondigheid. Onmondigheid is het gebrek aan vermogen zijn eigen verstand te gebruiken zonder andermans leiding. Deze onmondigheid is zelfverkozen als de oorzaak niet een gebrek aan verstand is, maar gebrek aan moed om het verstand te gebruiken. Voor verlichting is niets anders vereist dan vrijheid, die vrijheid welke inhoudt dat men in elk opzicht openbaarlijk van zijn verstand gebruikmaakt. Want het is de roeping van ieder mens om zelf te denken. Immanuel Kant (1783) Aan Joost en mijn ouders
6 List of abbreviations ANF Anti nuclear factor anti-dsdna Anti-double stranded DNA anti-scl70 Anti-scleroderma 70 anti-sm Anti-Smith anti-ssa/ssb Anti- Sjögren s syndrome A/B ATP Adenosine triphosphate CI confidence interval DASI Dyshidrotic Area and Severity Index DLQI Dermatology Life Quality Index ELISA Enzyme-linked immunosorbent assay EMR Electromagnetic radiation FAD Flavin adenine dinucleotide FASL FAS-ligand FMN Flavin mononucleotide ICAM-1 Intercellular adhesion molecule-1 IFN- Interferon gamma IgE Immunoglobulin E LP Lichen planus LFA-1 Lymphocyte function-associated antigen-1 MED Minimal erythemal dose MMP Matrix metalloproteinase MOS SF36 Medical Outcome Study 36-item short-form NAD(H) Nicotinamide adenine dinucleotide, oxidized form (reduced form) NADP(H) Nicotinamide adenine dinucleotide phosphate, oxidized form (reduced form) PBMCs Peripheral blood mononuclear cells RIA Radio immuno assay RNA Ribonucleic acid RNP Ribonucleoprotein ROS Reactive oxygen species SCLE Subacute cutaneous lupus erythematosus SCORAD Scoring atopic dermatits SLAM SLE Activity Measure SLE Systemic lupus erythematosus SLEDAI SLE Disease Activity Index UVA-1 Ultraviolet A-1 VAS Visual analogue score
7 Contents Chapter 1 General introduction 9 Chapter 2 UVA-1 cold light therapy in the treatment of atopic dermatitis: patients treated in the Leiden University Medical Center Photodermatol Photoimmunol Photomed 2005;21:93-96 Chapter 3 A double blind, placebo controlled trial of UVA-1 in the treatment of 49 dyshidrotic eczema ClinExpDermatol 2003;28: Chapter 4 Ultraviolet A1 in the treatment of generalized lichen planus: 59 A report of 4 cases JAm Acad Dermatol 2004;50:646-7 Chapter 5 UVA-1 cold light treatment of SLE: a double blind, placebo 67 controlled crossover trial AnnRheum Dis2001;60: Chapter 6 Efficacy of UVA-1 cold light as an adjuvant therapy for 81 systemic lupus erythematosus Rheumatology(Oxford)2004;43: Chapter 7 UVA-1 radiation suppresses immunoglobulin production of 93 activated B lymphocytes in vitro (submitted) Chapter 8 General discussion 115 Summary 133 Samenvatting 137 Publications 141 Curriculum vitae 143 Nawoord 144
8
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