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Indian Journal of Dermatology, Venereology and Leprology, Vol. 73, No. 5, September-October, 2007, pp. 351 Letter To Editor Response by authors Tejasvi Trilokraj, Sharma VinodK, Kaur Jasleen Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi Correspondence Address:Dr. Vinod K Sharma, Department of Dermatology and Venereology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029, India. E-mail: aiimsvks@yahoo.com Code Number: dv07129 Related Article: dv070128 Sir, We appreciate the interest and response of Dr. C.R. Srinivas in our publication with regard to the determination of minimal erythema dose (MED) in narrowband UVB (NB-UVB). [1] The aim of our study was to standardize the MED with an objective parameter using Dermaspectrometer. We did not find statistically significant differences in the visual reading and Dermaspectrometer reading; however, the instrument can detect erythema, which may not be appreciated by eye and avoids subjective variation. Most of the patients recruited in the study were females ( n=31 out of 41), and we could not find any variation in the MED between the genders. Probably, further studies with no gender bias and more number of subjects could provide a definite answer. The recruited patients were tested for MED prior to the starting of the NB-UVB treatment, and we started at 70% of their respective MEDs and no patient complained of excessive burning. Hence, the reduction by 50mj from the obtained MED was not practiced by us. In situations where a patient complains of increased sensitivity, the usage of 50% of the MED has been suggested. References
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