Author: ALAN GUTIERREZ VILCHIS

Phototherapy induces an improvement in clinical and biochemical scores in rheumatoid arthritis

José Meneses Calderón Guillermo Aburto Huacuz Irma Socorro González Sánchez ALAN GUTIERREZ VILCHIS Hugo Mendieta Zerón (2016)

Objective: Rheumatoid arthritis is a common autoimmune disease for which there is no known cure. Ultraviolet light can induce immunosuppressive effects. Our main objective was to ascertain whether a complementary treatment with phototherapy improves changes in functional scales in patients with rheumatoid arthritis. Methods: Seven women with rheumatoid arthritis were enrolled for this study and submitted to phototherapy sessions with a 425 to 650 nm lamp. Results: The Karnofsky scale changed from requiring frequent medical care to being capable of normal activity with few symptoms or signs of disease (p = 0.018), the RaQol questionnaire decreased abruptly from 29 to zero points (p = 0.018), the Steinbrocker Functional Capacity Rating changed from limited to little or none of the duties of usual occupation or self-care to complete ability to carry out all the usual duties without handicaps (p = 0.017). The pain was remitted after the treatment period. The acute inflammation variables showed a significant decrease after the indicated sessions, C-reactive protein (p = 0.042), erythrocyte sedimentation rate (p = 0.018). Conclusion: The evaluated scales clearly show a benefit with the phototherapy in rheumatoid arthritis patients. Thus, phototherapy seems to be a plausible complementary option to reduce the symptoms in rheumatoid arthritis.

Article

C-reactive protein Functional scales Phototherapy Rheumatoid arthritis MEDICINA Y CIENCIAS DE LA SALUD