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November 1975

Ultraviolet Light Standardization in the Goeckerman Regimen

Author Affiliations

USA Denver

Arch Dermatol. 1975;111(11):1535. doi:10.1001/archderm.1975.01630230133025

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To the Editor.—  For the physician using the modified Goeckerman regimen, the exact amount and course of ultraviolet light (UVL) exposure can be confusing. The standard texts and pertinent dermatologic literature offer few concrete directions on the specifics of ultraviolet light therapy.We have slightly modified the excellent suggestion by Bowers et al for ultraviolet light therapy (Br J Dermatol 78:273,1966). We light-test each individual to obtain a minimal erythemal dose (MED) value and then start treatment at 50% MED exposure. This is followed daily by increasing the dose to 25% over the previous day's exposure. We administer this progressive dose once daily, six times weekly. We continue in this logarithmic progression for a total of 21 consecutive treatments or to the maximum of patient tolerance, whichever occurs first. The guide to continuing the progression is the patient's comfort. Prior to the patient's exposure, he is asked about any discomfort

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