Phototherapy in Calgary

Narrowband UVB phototherapyat Rejuvenation Dermatology Calgary South.

Phototherapy uses a precisely measured dose of ultraviolet B light, delivered in a medical booth, to calm the immune activity in the skin that drives psoriasis, eczema and several other conditions. It is drug-free, well established, and covered by Alberta Health Care. Dr. Paul Kuzel, a board-certified dermatologist, prescribes and monitors every course.

14Years of training FRCPCRoyal College certified VPAlberta Society of Dermatologists
How it works

A narrow band of ultraviolet light, at a measured dose.

Narrowband UVB delivers light at 311 nanometres, the wavelength that is most effective against inflammatory skin disease and least damaging to the skin. The dose is calculated for your skin type and increased gradually over the course.

The effect on the skinUVB at this wavelength suppresses the overactive immune cells in the skin, slows the excessive cell turnover of psoriasis, and reduces the itch signalling of eczema. In vitiligo it stimulates the pigment cells at the edge of a patch to migrate inward.
Why narrowbandOlder broadband UVB and PUVA delivered a wider range of wavelengths with more burning and, in the case of PUVA, a measurable long-term skin cancer risk. Narrowband UVB clears skin as effectively with fewer side effects and no photosensitising drug, and is the standard of care.
Why not a tanning bedTanning beds emit mostly UVA at uncontrolled doses. UVA does not treat these conditions and carries the highest melanoma risk of any ultraviolet exposure. Phototherapy is a different wavelength, at a calculated dose, under medical supervision.
What it treats

Indications for phototherapy.

Phototherapy is used for inflammatory skin disease that is too widespread for topical treatment alone, and for patients who prefer to avoid or cannot take systemic medication.

Primary indication

Psoriasis

Widespread plaque psoriasis and guttate psoriasis. Narrowband UVB clears or substantially improves most patients within a course, and is particularly effective for guttate disease.

  • Two or three sessions a week for eight to twelve weeks
  • Combined with topical treatment for thick plaques
Psoriasis
Primary indication

Atopic dermatitis and eczema

Moderate to severe eczema across large areas of the body that topical treatment does not control. Reduces inflammation and itch and allows a reduction in topical steroid use.

  • A step before, or alongside, systemic treatment
  • Suitable for adults and older children
Atopic dermatitis
Repigmentation

Vitiligo

Narrowband UVB is the most effective non-surgical treatment for vitiligo, stimulating repigmentation from the edges of patches and from hair follicles within them. Face and trunk respond best; hands and feet respond least.

  • Courses are longer, often six to twelve months
  • Combined with topical treatment
Other indications

Itch and other inflammatory conditions

Generalised itch of kidney or liver disease, lichen planus, pityriasis lichenoides, polymorphic light eruption, early cutaneous T-cell lymphoma and other conditions where the evidence supports it, at the discretion of the treating dermatologist.

Why a dermatologist

Dosing, monitoring and long-term safety.

Phototherapy is safe because it is prescribed. The starting dose, the rate of increase, the number of sessions and the lifetime exposure are all decisions made by a physician who knows the condition and the patient.

The right indicationPhototherapy helps the conditions it is indicated for and can worsen others, including lupus and some photosensitive disorders. Dr. Kuzel confirms the diagnosis and screens for photosensitivity and photosensitising medication before prescribing.
Dosing by skin typeThe starting dose is calculated from skin type and, where needed, a minimal erythema dose test. Doses are increased in defined increments and adjusted at every session according to the skin's response, which minimises burning and maximises clearance.
Part of a planPhototherapy is combined with topical treatment during the course and followed by a maintenance strategy afterwards. If the response is insufficient, the same physician steps up to systemic therapy without a second referral.
Cumulative exposureThe total number of sessions over a lifetime is recorded. Patients who receive repeated courses are entered into annual full-body skin examination, so that any long-term effect is found early.
The session

A few minutes in a medical booth, two or three times a week.

Sessions are brief and are scheduled around work. Most patients are in and out of the clinic in under fifteen minutes.

AssessmentDr. Kuzel confirms the indication, records skin type and medications, and sets the starting dose and schedule.
PreparationEmollient is applied to plaques. Eyes are covered with UV-blocking goggles; the face and genitals are shielded unless they are being treated.
ExposureStanding in the booth for a timed exposure, starting at well under a minute and rising over the course to a few minutes.
ReviewThe skin is checked before each session. The dose is increased, held or reduced according to the response.
CompletionOnce the skin is clear, sessions are tapered or stopped and a maintenance plan is set.
Safety

What to expect, and what is monitored.

Narrowband UVB has a long safety record. The common effects are mild and short-lived; the long-term risk is managed by limiting cumulative exposure and by skin surveillance.

During the course

  • Mild pinkness for a few hours after a session is expected and indicates the dose is correct
  • Dryness and itch, managed with emollient
  • Sunburn-like redness if a dose is too high, in which case the next dose is reduced
  • Tanning of treated skin, which fades after the course
  • Occasional cold sore reactivation on the face
  • Tell the clinic of any new medication, as some increase light sensitivity
  • Avoid additional sun exposure on treatment days

Referrals and coverage

Phototherapy for psoriasis, eczema, vitiligo and other medical indications is covered by Alberta Health Care. A referral from your family physician is the normal route and can be faxed to (403) 225-2914.

If you do not have a family doctor, call (403) 286-6888 and the team will advise on the fastest route to be seen. Sessions are available early morning and evening on weekdays.

What to expect

Expected outcomes.

For psoriasis, most patients see improvement within three to four weeks and clearance or near clearance by the end of an eight to twelve week course. Remission after a course commonly lasts several months, and courses can be repeated. Guttate psoriasis responds particularly well.

For atopic dermatitis, itch improves within the first few weeks and the skin settles over the course, allowing topical steroid use to be reduced. Where phototherapy is insufficient, it is followed by systemic treatment under the same physician.

For vitiligo, repigmentation begins after two to three months and continues over a course of six to twelve months. The face, neck and trunk repigment most reliably. Hands, feet and areas of white hair respond poorly, and this is discussed before treatment begins.

2 to 3Sessions per week 8 to 12Weeks for psoriasis and eczema 311Nanometres, narrowband UVB
Questions

Questions about phototherapy, answered.

Is phototherapy covered by Alberta Health Care?

Yes. Narrowband UVB phototherapy for psoriasis, eczema, vitiligo and other medical indications is a covered service. A referral from your family physician is the normal route.

Do I need a referral?

For phototherapy billed to Alberta Health Care, a referral from a physician is the normal route, and it can be faxed to (403) 225-2914. If you do not have a family doctor, call (403) 286-6888 and the team will advise.

Is phototherapy safe?

Narrowband UVB has been used for decades with a well-characterised safety profile. Short-term effects are mild redness, dryness and tanning. The theoretical long-term risk is a small increase in skin cancer with very high cumulative exposure; large studies of narrowband UVB have not shown a significant increase at the doses used in typical courses. Exposure is recorded, and patients with repeated courses have annual skin checks.

Is this the same as a tanning bed?

No. Tanning beds emit mainly UVA, which does not treat these conditions and carries the highest melanoma risk of any ultraviolet source, at doses that are not measured. Phototherapy delivers a single narrow band of UVB at a calculated dose under medical supervision. Tanning beds are not a substitute and are not recommended.

How long does each session take?

The exposure itself starts at well under a minute and rises over the course to a few minutes. Including changing and review, most patients are in the clinic for ten to fifteen minutes.

How many sessions will I need?

For psoriasis and eczema, two or three sessions a week for eight to twelve weeks, so roughly twenty to thirty sessions. Vitiligo requires a longer course, often six to twelve months. The number is reviewed as the skin responds.

Can I continue my creams during phototherapy?

Yes, and it is usually recommended. Emollients are applied before sessions, and prescribed topical treatments continue on non-treatment days or as directed. Some products, including coal tar and certain retinoids, increase light sensitivity and are timed accordingly.

What if it does not work?

Most patients respond, but if the skin has not improved adequately by the end of the course, the plan moves to systemic treatment: oral agents or biologics, prescribed by Dr. Kuzel without a further referral.

Is phototherapy safe in pregnancy?

Narrowband UVB is one of the few treatments for psoriasis and eczema considered safe in pregnancy and breastfeeding, because no drug is involved. Folate levels are monitored, as ultraviolet light can lower them.

Who prescribes and supervises the treatment?

Dr. Paul Kuzel, MD FRCPC, a board-certified dermatologist and the founder and Medical Director of Rejuvenation Dermatology Calgary South. He sees patients in English and Czech.

Begin here

Book a consultation.

Book a consultation with Dr. Kuzel, or ask your family physician for a referral.

Rejuvenation Dermatology Calgary South
10201 Southport Rd SW #102
Calgary, AB T2W 4X9
Two blocks west of the Delta Hotel

(403) 286-6888
Referrals by fax: (403) 225-2914

Open seven days a week, with early mornings and evenings on weekdays.

Contact Rejuvenation Dermatology

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