Research Article

The Effect of Narrow Band UVB and PUVA Treatment on Serum Folate Levels

Volume: 72 Number: 2 October 2, 2019
Seçil Vural *, Hilayda Karakök Güngör , Bengü Nisa Akay , Nihal Kundakçı
EN TR

The Effect of Narrow Band UVB and PUVA Treatment on Serum Folate Levels

Abstract

Objectives: Narrow band UVB (NBUVB) treatment is a preferred dermatological treatment modality especially in pregnant women because of high safety profile. Previous studies have shown photodegradation may decrease folate levels in blood. In this study we aim to investigate if phototherapy causes low folic acid levels in our patients. Materials and Methods: Patients applying to dermatology unit and receiving either psoralen plus UVA or NBUVB treatment with regular folic acid level check-ups were analysed retrospectively. Results: In none of the patients folic acid levels lower than reference levels were detected. Mean serum folate values in baseline were 9.30 (±3.22 SD). The mean value after 18 treatment sessions was 7.26 (±4.82 SD), and after 36 sessions was 8.69 (±3.6 SD). In PUVA group baseline mean folate level was 9.16 (±3.76 SD), followed by 6.76 (±4.89 SD) after 18 sessions and 9.41 (±3.79 SD) after 36 sessions. Repeated measure in time were not statistically significant in both groups (p>0.05). Conclusion: NBUVB and PUVA treatments appear to be safe in regards to blood folic acid levels in our population where Fitzpatrick skin type III and IV is more common.

Keywords

Narrow Band UVB, Psoralen and UVA, Serum Folate, Pregnant

Ethical Statement

Retrospektif çalışma

References

  1. 1. Bangsgaard N, Rorbye C, Skov L. Treating Psoriasis During Pregnancy: Safety and Efficacy of Treatments. Am J Clin Dermatol. 2015;16:389-398.
  2. 2. Zhu JL, Hjollund NH, Andersen AM, et al. Occupational exposure to pesticides and pregnancy outcomes in gardeners and farmers: a study within the Danish National Birth Cohort. J Occup Environ Med. 2006;48:347-352.
  3. 3. Murase JE, Koo JY, Berger TG. Narrowband ultraviolet B phototherapy influences serum folate levels in patients with vitiligo. Journal of the American Academy of Dermatology. 2010;62:710-711.
  4. 4. Borradale D, Isenring E, Hacker E, et al. Exposure to solar ultraviolet radiation is associated with a decreased folate status in women of childbearing age. Journal of photochemistry and photobiology B, Biology. 2014;131:90-95.
  5. 5. El-Saie LT, Rabie AR, Kamel MI, et al. Effect of narrowband ultraviolet B phototherapy on serum folic acid levels in patients with psoriasis. Lasers Med Sci. 2011;26:481-485.
  6. 6. Czeizel AE, Dudás I. Prevention of the first occurrence of neural-tube defects by periconceptional vitamin supplementation. N Engl J Med. 1992;327:1832-1835.
  7. 7. Giovannucci E. Epidemiologic studies of folate and colorectal neoplasia: a review. J Nutr. 2002;132:2350S-2355S.
  8. 8. Gisondi P, Fantuzzi F, Malerba M, et al. Folic acid in general medicine and dermatology. J Dermatolog Treat. 2007;18:138-146.
  9. 9. Wiwanitkit V. Narrowband ultraviolet B phototherapy and serum folic acid level. Lasers Med Sci. 2012;27:685.
  10. 10. Lucock M. Folic acid: nutritional biochemistry, molecular biology, and role in disease processes. Mol Genet Metab. 2000;71:121-138.
APA
Vural, S., Karakök Güngör, H., Akay, B. N., & Kundakçı, N. (2019). The Effect of Narrow Band UVB and PUVA Treatment on Serum Folate Levels. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 72(2), 205-208. https://doi.org/10.4274/atfm.galenos.2019.78942
AMA
1.Vural S, Karakök Güngör H, Akay BN, Kundakçı N. The Effect of Narrow Band UVB and PUVA Treatment on Serum Folate Levels. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2019;72(2):205-208. doi:10.4274/atfm.galenos.2019.78942
Chicago
Vural, Seçil, Hilayda Karakök Güngör, Bengü Nisa Akay, and Nihal Kundakçı. 2019. “The Effect of Narrow Band UVB and PUVA Treatment on Serum Folate Levels”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 72 (2): 205-8. https://doi.org/10.4274/atfm.galenos.2019.78942.
EndNote
Vural S, Karakök Güngör H, Akay BN, Kundakçı N (October 1, 2019) The Effect of Narrow Band UVB and PUVA Treatment on Serum Folate Levels. Ankara Üniversitesi Tıp Fakültesi Mecmuası 72 2 205–208.
IEEE
[1]S. Vural, H. Karakök Güngör, B. N. Akay, and N. Kundakçı, “The Effect of Narrow Band UVB and PUVA Treatment on Serum Folate Levels”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 72, no. 2, pp. 205–208, Oct. 2019, doi: 10.4274/atfm.galenos.2019.78942.
ISNAD
Vural, Seçil - Karakök Güngör, Hilayda - Akay, Bengü Nisa - Kundakçı, Nihal. “The Effect of Narrow Band UVB and PUVA Treatment on Serum Folate Levels”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 72/2 (October 1, 2019): 205-208. https://doi.org/10.4274/atfm.galenos.2019.78942.
JAMA
1.Vural S, Karakök Güngör H, Akay BN, Kundakçı N. The Effect of Narrow Band UVB and PUVA Treatment on Serum Folate Levels. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2019;72:205–208.
MLA
Vural, Seçil, et al. “The Effect of Narrow Band UVB and PUVA Treatment on Serum Folate Levels”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 72, no. 2, Oct. 2019, pp. 205-8, doi:10.4274/atfm.galenos.2019.78942.
Vancouver
1.Seçil Vural, Hilayda Karakök Güngör, Bengü Nisa Akay, Nihal Kundakçı. The Effect of Narrow Band UVB and PUVA Treatment on Serum Folate Levels. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2019 Oct. 1;72(2):205-8. doi:10.4274/atfm.galenos.2019.78942