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BALNEO-PHOTO-THERAPY OF PSORIASIS IN RED SEA

Dr Ghada can arrange a therapeutic trip to psoriatic patients to have a cure at Safaga-Red Sea

Psoriasis is a chronic recurrent skin disease characterized by the appearance of red papules and plaques of varying size covered with laminated silvery scales. It affects 1 2% of Populations.

Unfortunately, there is no satisfactory topical or systemic treatment for psoriasis. Moreover, drugs lack their effectiveness by the duration of treatment and by side effects.

So, treatment must always be appropriate to psoriasis severity and importance to that patient. It should never be more unpleasant, intolerable or dangerous than the disease itself.

Balneophototherapy is just bathing in the Red Sea then gradual exposure to the natural selective ultraviolet A of the sun.
 
 
The treatment of psoriasi at the Read Sea does not involve the use of drastic measures or potentially dangerous drugs, but the major Factors are: the sea, the sun and the atmosphere.
 

  • In Egypt the sun spectrum was found to contain huge amounts of long wave ultraviolet rays (mainly 300 to 400 nm), as compared to other countries like Britain and South Africa.

  • Measurements of ultraviolet intensity at Safaga-Red Sea, showing a shift toward the longer wavelengths in relative intensity of UVA with attenuation of the erythemogenic shorter UVB wavelengths (300 - 310 nm), resulting in a modified ultraviolet favorable to the treatment of psoriasis.

  • Unique qualities of the atmosphere in Safaga is well know, the low relative humidity allows for comfortable prolonged sunbathing despite high temperatures. Also, there is no air pollution, as we examined air samples representing morning, afternoon and night periods and they show:

    • Nitrogen Oxide gasses were not detected.
    • Sulfur dioxide gas value considered a normal concentration in non-industrial area.
    • Smoke: 1.6 Ug/m3 compared to Cairo (67.5 Ug/m3) and Alexandria (18.8 Ug/m3) and the average of MAC in Environmental Egyptian law is (2.7%).
    • Suspended particles: (102.569 Ug/m3) as a mean value, while in Cairo (545.5-1482.8 Ug/m3).

  • The main oceanographically feature of the Red Sea is its high salinity, up to 43 parts per thousand at the north end, compared to 35 parts per thousand in the open oceans.

  • The Red Sea in Safaga area has a special nature for the following reasons:

    • No pouring of fresh water from rivers or other streams in the sea.
    • Dissolved salts in Safaga represent a salinity of (49.4g/L), which is higher than salinity of Red Sea (43g/L) and Mediterranean Sea (39g/L).
    • Lead (Pb), Cadmium (Cd), and Copper (Cu), were not detected.
    • Mercury has been found in higher amount than in open seas.
    • Chromium (Cr) and Zinc (Zn), were found in higher concentrations.
    • Iron (Fe2 & Fe3) was in trace amount.
 
 
The high salinity of the Red Sea water in Safaga may play a role as enzymatic cofactors or regulators of epidermal proliferation in psoriasis, also it may decrease the minimal erythema dose. The most important factor that could explain the therapeutic benefit from bathing psoriasis patients prior to UV irradiation seems to be the desquamation effect on the psoriatic lesion, which causes a subsequent decrease in the barrier function for UV radiation.

  • The psychological influences during the Red Sea spa treatment are more complex than simple removal from the stress of home and work and different from those present during a stay in hospital. The patient is accommodated as hotel guests along side ordinary visitors and tourists. During their month - long stay, there is much socializing and mutual encouragement. The welcomed opportunity of patients to communicate freely with other patients about psychological aspects of psoriasis contributes to a better understanding of their disease. By day, they sunbathe with swimming suits or casual clothes and in the evenings join in social functions. For the first time in years, they unashamedly wear fashionable clothes, even if these reveal psoriatic lesions. By the time they leave, many developed a more open, less stressful attitude toward their disease, which influences personal attitudes and social relationships on their return home. They become more hopeful and optimistic when they feel their condition can be cleared, or greatly improved, without recourse to powerful systemic or local drugs, which they know may have deleterious effects. They also, learn from patients who are having repeated treatments that a recurrence, when it occurs, is likely to be less rather than more severe, and will still respond to the Red Sea therapy.

After the environmental assessment of Safaga, we can describe the mode of action of the Balneophototherapyat the Red Sea, as a Natural selective ultraviolet A phototherapy, because patients were just gradually exposed to the natural selective ultraviolet A of the sun then took bath in the Red Sea .

Balneophototherapy provides a conservative, successful therapy for psoriasis that is pleasant and probably cost effective.

Successful treatment is up of 72% reduction of psoriatic lesions.


 

Before After
 
 
Before After
Before After
 
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