Dermatolojide Balneo-Foto-Terapi

Mineralli sular kimyasal ve fiziksel dinamizmle karakterize özel jeolojik şartlarda oluşmuş doğal solusyonlardır. Günümüzde, su tedavisi birçok ülkede uygulanmaktadır. Balneoterapi hastanın mineralli su içeren banyo veya havuzlarda tedavi edilmesini ifade eder. Mineralli sular moleküler konsantrasyon, kimyasal içerik, içerdiği farklı oligo-elementler, kapasite, sıcaklık, pH ve terapotik etki mekanizmaları gibi farklı fiziksel özellikleri ve kimyasal içeriklerine göre sınıflandırılırlar. Dünyada balneoterapi uygulanan yegane ve özel yerler, İsrail’de Ölüdeniz, Türkiye’de Kangal Balıklı Kaplıcası ve İzlanda’da Mavi Lagün’dür. Balneoterapi ile başarılı bir şekilde tedavi edilen önemli dermatolojik hastalıklar, psöriazis ve atopik dermatittir. Balneoterapiden fayda gören birçok hastalıkta etki mekanizmaları tam olarak bilinmemektedir. Tedavi edici etkilerin, kimyasal, termal, mekanik ve immünmodülatör etkilerin bir araya gelmesinden kaynaklandığına inanılmaktadır.
Anahtar Kelimeler:

Balneoterapi, balneofototerapi

Dermatolojide Balneo-Foto-Terapi

Keywords:

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  • Tubergen A, Linden S. A brief history of spa therapy. Ann Rheum Dis, 2002; 61: 273-275.
  • Matz H. Orion E. Wolf R. Balneotherapy in dermatology. Dermatol Ther, 2003; 16: 132-140.
  • Ghersetich I, Freedman D, Lotti T. Balneology today. J Eur Acad Dermatol Venereol, 2000; 14: 346-348.
  • McMurtry CW. Dermatologic therapeutics: sulfur. J Cutan Dis, 1913; 322: 399–408
  • Parish LC, Witkowski JA. Dermatologic balneology: the American view of waters, spas, and hot springs. J Eur Acad Dermatol Venereol, 1994; 3: 465–467.
  • Vorhees JJ, Duell EA. Imbalanced cyclic-AMP and cyclic GMP levels in psoriasis. Adv Cyclic Nucleotide Res, 1975; 5: 735-738.
  • Lowe NY, Breeding Y, Russel D. Cutaneous polyamines in psoriasis. Br J Dermatol, 1982; 107: 21–26.
  • Blondell JM. The anti-carcinogenic effect of magnesium. Med Hypotheses, 1980; 6: 863–871.
  • Shani J, Kushelevsky AP, Harari M, Even-Paz Z. Sustained decreased of blood pressure in psoriatic patients during treatment at the Dead Sea. Pharmacol Res, 1995; 31: 355–359.
  • Halevy S, Giryes H, Friger M, Grossman N, Karpas Z, Sarov B, Sukenik S. The role of trace elements in psoriatic patients undergoing balneotherapy with Dead Sea bathsalt. Isr Med Assoc J, 2001; 3: 828- 832.
  • Shani J, Barak S, Levi D, et al. Skin penetration of minerals in psoriatics and guinea pigs bathing in hypertonic salt solutions. Pharmacol Res Commun, 1985; 17: 501–512.
  • Medina D. Selenium and murine mammary tumorigenesis. In: Cohen R, ed. Diet, nutrition and cancer: a critical evolution. Boca Raton, FL: CRC Press, 1986:23–42.
  • Moysan A, Morliere P, Marquis L, et al. Effects of selenium on UVA-induced lipid peroxidation in cultured human skin fibroblasts. Skin Pharmacol,
  • Jezora D, Vigas M, Tatar P, Jurcovicora J, Palat M. Rise in plasma beta-endorphin and ACTH in response to hyperthermia in sauna. Horm Metab Res, 1985; 17: 693–694.
  • Coruzzi P, Ravanetti C, Musiari L, Biggi A, Vescovi PP, Novarini A. Circulatory opioid peptides during water immersion in normal men. Clin Sci, 1988; 74: 133–136.
  • Dubois M, Pickar D, Roth YF, et al. Surgical stress in humans accompanied by an increase in plasma betaendorphin immunoreactivity. Life Sci, 1981; 29: 1249–1251.
  • Cozzi F, Lazzarin P, Todesco S, Cima L. Hypothalamicpituitary adrenal axis dysregulation in healthy subjects undergoing mud-bath application [letter]. Arthritis Rheum, 1995; 38: 724–725.
  • Sukenik S, Abu-Shakra M, Flusser D. Balneotherapy in autoimmune disease. Isr J Med Sci, 1997; 33: 258– 261.
  • O’Hare JP, Heywood A, Summerhayes C, et al. Observation on the effects of immersion in bath spa water. Br Med J, 1985; 291: 1745–1751.
  • Valitutti S, Costellino F, Musiani P. Effect of sulphurus “thermal” water on T lymphocytes proliferative response. Ann Allergy, 1990; 65: 463– 468.
  • Morimoto C, Letin NL, Distaso JA, et al. The isolation and characterization of the human suppressor inducer T cell subset. J Immunol, 1985; 134: 1508-1512.
  • Gruner S, Zwirner A, Boonen H, et al. Effect of treatment with salt from the Dead Sea (Tomesa therapy) on epidermal Langerhans cells—a clinical study. Hautartz, 1990; 65: 1146–1151.
  • Ozcelik S, Polat HH, Akyol M, Yalcin AN, Ozcelik D, Marufihah M. Kangal hot spring with fish and psoriasis treatment. J Dermatol, 2000; 27: 386–390.
  • Ozcelik S, Akyol M. Psoriyazisde balneoterapi ve al- ternatif tedaviler (Sivas Kangal Balıklı Kaplıcası ). Türkiye Klinikleri J Int Med Sci, 2005;1: 89-94.
  • Kürkçüoğlu N, Öz G. Psoriasis and the Doctor Fish. The Lancet, 1989; 9: 1394.
  • Evcik D, Kavuncu V, Yeter A, Yiğit İ. Comparison of balneotherapy, paleidotherapy and hot pack in patients with knee osteoartritis. 5th Mediterranean Congress of Physical and Rehabilitation Medicine. Sep. 30th-Oct 04th Antalya, Turkey.
  • Evcik D, Pusak H, Kavuncu V, Geçici O. Fibromyalji sendromu olan hastalarda su içi egzersiz programının etkinliği. 20. Ulusal Fiziksel Tıp ve Rehabilitasyon Kongresi, 22-25 Haziran 2005, Bodrum, Türkiye.
  • Even-Paz Z, Shani J. The Dead Sea and psoriasis. Int J Dermatol, 1989; 28: 1–9.
  • Even-Paz Z. Dermatology at the Dead Sea spas. Isr J Med Sci, 1996; 32: 11-15.
  • Halevy S, Sukenik S. Different modalities of spa therapy for skin diseases at the Dead Sea area. Arch Dermatol, 1998; 134:1416-1420
  • Shani J, Seidel V, Hristakieva E, Stanimirovic A, Burdo A, Harari M. Indications, contraindications and possible side effects of climatotherapy at the Dead Sea. Int J Dermatol, 1997; 36: 481–492.
  • Shani J, Barak S, Ram M, et al. Serum bromine levels in psoriasis. Pharmacology, 1982; 25: 297–307
  • David J, Abels MD, Theodore Rose MA, Jacob E, Bearman Ph D. Pharmacology and therapuetics treatment of psoriasis at a dead sea dermatology clinic. Int J Dermatol, 1995; 33: 134-137
  • Hauksson T, The chemical composition of thermal ground water and heated freshwater. Orkustofnun (National Energy Authority of Iceland) 1980 Report OS-800023/JHD-12,1-38 (Icelandic)
  • Olafsson JH, Sigurgeirsson B, Palsdottir R. Psoriasis treatment: bathing in a thermal lagoon combined with UVB, versus UVB treatment only. Acta Derm Venereol, 1996; 76: 228-230.
  • Leaute-Labreze C, Saillour F, Chene C, Cazenav C, Luxey-Bellocq M, Sanciaume C, Toussaint JF, Taieb A. Saline spa water or combined water and UVB for psoriasis vs conventional UVB. Arch Dermatol, 2001; 137:1035-1039.
  • Ghersetich I, Lotti T. Immunologic aspects: Immunology of mineral waters SPAs. Clin Dermatol, 1996; 14: 665-673.
  • Bender T, Balint PV, Balint GP, Van Tubergen A, Van der Linden S. A brief history of spa therapy. Ann Rheum Dis, 2002; 61: 949.
  • Van Tubergen A, Van der Linden S. A brief history of spa therapy. Ann Rheum Dis, 2002; 61: 273-275.
  • Sukenik S, Giryes H, Halevy S, Neumann L, Flusser D, Buskila D. Treatment of psoriatic arthritis at the Dead Sea. J Rheumatol, 1994; 21: 1305–1309.
  • Even-Paz Z, Gumon R, Kipnis V, Ables DJ, Efron D. Dead Sea sun versus Dead Sea water in the treatment of psoriasis. J Dermatol Treat, 1996; 7: 83–86.
  • Halevy S, Giryes H, Friger M, Sukenik S. Dead sea bath salt for the treatment of psoriasis vulgaris: a double blind controlled study. J Eur Acad Dermatol Venereol, 1997; 9: 237-242.
  • Shani J, Even-Paz Z, Avrach WW, et al. Topical replacement therapy of psoriasis by Dead Sea salts, evaluated by scanning electron microscopy and X-ray fluorescence. Dermatosen, 1991; 39: 49–55.
  • Shani J, Tur E, Wald E, et al. Computerized morphometry of psoriatic keratinocytes after bathing in the Dead Sea bath solutions. J Dermatol Treat,
  • Petrini M, Vaglini F, Carulli G, Azzara A, Ambrogi F, Bertelli A. Effects of lithium and rubidium on the differentiation of mononuclear cells. Int J Tissue React, 1986; 8: 391–392.
  • Gruner S, Zwirner A, Boonen H, et al. Effect of treatment with salt from the Dead Sea (Tomesa therapy) on epidermal Langerhans cells—a clinical study. Hautartz, 1990; 65: 1146–1151.
  • Wiedow O, Wiese F, Christophers E. Lesional elastase activity in psoriasis: diagnostic and prognostic significance. Arch Dermatol Res, 1995; 287: 632–635.
  • Wiedow O, Wiese F, Streit V, Kalm C, Christophers E. Lesional elastase activity in psoriasis, contact dermatitis, and atopic dermatitis. J Invest Dermatol, 1992; 99: 306–309.
  • Boer J, Schothorst AA, Boom B, Hermans J, Suurmond D. Influence of water and salt solutions on UVB irradiation of normal skin and psoriasis. Arch Dermatol Res, 1982; 273: 247–259.
  • Schempp CM, Blumke C, Schopf E, Simon JC. Skin sensitivity to UV-B radiation is differentially increased by exposure to water and different salt solutions. Arch Dermatol, 1997; 133: 1610.
  • Schempp CM, Dittmar HC, Hummler D, et al. Magnesium ions inhibit the antigen-presenting function of human epidermal Langerhans cells in vivo and in vitro. Involvement of ATPase, HLA-DR, B7 molecules, and cytokines. J Invest Dermatol, 2000; 115: 680–686.
  • Shani J, Harari M, Hristakieva E, Seidel V, Bar- Giyora J. Dead sea climatotherapy versus other modalities of theratment for psoriasis: comparative cost effectiveness. Int J Dermatol, 1999; 38: 252-262.
  • Tsoureli-Nikita E, Menchini G, Ghersetich,
  • Hercogova J. Alternative treatment of psoriasis with balneotherapy using Leopoldine spa water. J Eur Acad Dermatol Venereol, 2002; 16: 260-262.
  • Cooper EJ, Herd RM, Priestley GC, Hunter A. A comparison of bathwater and oral delivery of 8- methoxypsoralen in PUVA therapy for plaque psoriasis. Clin Exp Dermatol, 2000; 25: 111-114.
  • Andreassi L, Flori L. Mineral water and spas in Italy. Clin Dermatol, 1996; 14: 627–632.
  • Inoue T, Inoue S, Kubota K. Bactericidal activity of manganese and iodide ions against Staphylococcus aureus: a possible treatment for acute atopic dermatitis. Acta Derm Venereol, 1999; 79: 360–362.
  • Kubota K, Machida I, Tamura K, et al. Treatment of refractory cases of atopic dermatitis with acidic hot spring. Acta Derm Venereol, 1997; 77: 452–454.
  • Celerier P, Richard A, Litoux P, Dreno B. Modulatory effects of selenium and strontium salts on keratinocyte-derived inflammatory cytokines. Arch Dermatol Res, 1995; 287: 680–682.
  • Giryes H, Friger M, Sarov B. Treatment of atopic dermatitis in the Dead Sea area: biology and therapy of inflammatory skin diseases. International Symposium at the Dead Sea: Nov 2-6, 1997; Dead Sea, Israel.
  • Seidel V, Hristakeive E, Harrari M. Climatotherapy of vitiligo at the Dead Sea. Dtsch Dermatol, 1994; 42:144-161
  • Miller HE. Colloidal sulphur in dermatology. Arch Dermatol Syphil, 1935; 31: 516–525.
  • Hjorth N. Traditional topical treatment of acne. Acta Derm Venereol (Stockh), 1980; 89: 53–55.
  • Duvic M. Possible mechanisms of effectiveness of Dead Sea balneotherapy. J Am Acad Dermatol, 1986; 15: 1061.
  • Kushelevsky AP, Slifkin MA. Ultraviolet measurements at the Dead Sea and Beer Sheva. Isr J Med Sci, 1975; 11: 488-490.
Kocatepe Tıp Dergisi-Cover
  • ISSN: 1302-4612
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1999
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