Application
Preparations
UV protection
Before treatment, ensure that both the patient and any assistants are adequately protected from UV radiation. The eyes are particularly sensitive to UV radiation. Therefore, UV-protective goggles must always be worn during the procedure. In addition, all areas of skin outside the treatment area should either be covered with clothing or protected with sun cream offering a high UV protection factor.

Removing scales
Thick scales and crusts prevent UV radiation from penetrating the skin. To ensure the treatment takes effect quickly, the scales should be removed before starting treatment. The scale remover should not irritate the skin unnecessarily and should be easy to wash off.
Dosage
The UV dose per treatment is determined by two factors: the duration of exposure and the intensity of the radiation reaching the skin.
In practice, it is usually only the duration of exposure that is adjusted. It is extended or shortened as required. The intensity of the radiation should always remain the same.
The irradiation intensity depends on the UV lamp as well as the distance between the lamp and the skin. To maintain a consistent intensity, the distance between the UV device and the skin must therefore remain the same. A UV comb is therefore always placed with its teeth resting directly on the skin.
The duration of a treatment depends on your individual sensitivity to UV light. Depending on your skin type, you start with a short exposure time. This is gradually increased from treatment to treatment until the so-called erythema threshold is reached. The erythema threshold manifests as a mild sunburn: the skin becomes slightly red, but the redness subsides quickly. The instructions for use contain tables for each skin type, showing suitable starting times and increments.
As the treatment progresses, the duration of each session is also based on the erythema threshold. The skin reacts with increased pigmentation (tanning) and the formation of a photodermatosis. These changes lead to an increase in the erythema threshold. As a result, the skin can tolerate more UV radiation. The exposure time – and thus the UV dose – can be further increased as the treatment progresses.
Duration and frequency of treatments
A single treatment lasts between 2 and 15 minutes, depending on the skin’s sensitivity to UV light. If larger or multiple areas of skin are to be treated, this is done one after the other or in separate sections. This extends the total treatment time.
In the case of psoriasis and atopic dermatitis, 20 to 30 treatments are usually required before the symptoms disappear. Three to five treatments should be carried out per week. The treatment of vitiligo generally takes longer and can last several weeks.
UV phototherapy should only be used when necessary and not on a long-term basis.