UV-B lamps

Lamp that emits ultraviolet light to treat disease

UV-B lamps are lamps that emit a spectrum of ultraviolet light with wavelengths ranging from 290–320 nanometers. This spectrum is also commonly called the biological spectrum due to the human body's sensitivity to light of such a wavelength.[1] UV-B light does not tan the skin very much, compared to the UV-A lamps that are used in tanning beds.

Treating skin diseases

The main use of UVB lamps is as phototherapy lamp, meaning treating skin diseases with light. The diseases UV-B lamps treat are psoriasis,[2] vitiligo, lichen planus, atopic dermatitis (eczema), and other skin diseases.

Thousands of dermatology clinics around the world treat skin ailments using UV-B lamps. Many people who suffer from psoriasis or other skin diseases have their own UV-B lamp at home. A small lamp is used to treat small areas of the skin, while full body cabins treat the whole body, mainly at clinics and hospitals.

Overexposure to UV-B light can burn the skin, so the exposure time must be regulated by a timer that turns off the lamp.

Increasing vitamin D3

When the skin is exposed to UVB light of 290-300 nanometer, it creates vitamin D3.[3]

Types of UVB lamps

The ideal wavelength for stimulating vitamin D3 production and treating skin conditions is 293 nanometers. Currently, only LED lamps can achieve this with a peak wavelength of 293 nanometers. This precise wavelength requires a minimal dose of about 0.1 joules per square centimeter, which is sufficient for effective results without causing skin redness or necessitating a gradual increase in dosage. This allows for visible effects on the skin within the same day.

![297 nanometer LED spectrum](File:297_nanometer_LED_spectrum.jpg)

In contrast, fluorescent UVB lamps come in two types: broadband (or wideband) and narrowband. Broadband UVB lamps have a peak wavelength of 306 nanometers. Since only a small portion of their spectrum falls near the optimal 297 nanometers, these lamps require a higher dose of 0.5 joules per square centimeter. This dose must be increased gradually, as there is a risk of skin burns.

![Spectrum of fluorescent Broadband UVB lamp](File:Spectrum_of_fluorescent_Broadband_UVB_lamp.png)

Narrowband UVB lamps, on the other hand, emit light in the 311-312 nanometer range. These lamps require a dose of 2 joules per square centimeter to achieve the same therapeutic effect as a 293 nanometer lamp, which is 20 times higher. This makes them less efficient compared to LEDs but still useful for specific treatments.

![312nm NB UVB LAMP SPECTRUM](File:312nm_NB_UVB_LAMP_SPECTRUM.jpg)

UVB light in the sun rays

Sunlight contains a small amount of light in the 290-300 nanometer range, which is essential for vitamin D synthesis. This is why 15 to 30 minutes of daily sun exposure is usually recommended. In Northern European countries, especially during winter when sunlight is limited, pregnant women may receive UVB light therapy in clinics to ensure their babies have adequate vitamin D3 levels at birth.

Animals also require UVB light to produce vitamin D3, which is crucial for bone health. UVB lamps are commonly used in zoos and homes for reptiles, snakes, turtles, and other animals to help them maintain proper vitamin D3 levels.

Cancer risks

UV-B treatments for skin conditions such as psoriasis, vitiligo, and atopic dermatitis are administered in very low doses, often lasting only a few minutes or less than a minute when using lamps emitting 290-300 nanometer light. This low dosage does not significantly increase the risk of skin cancer, making UV-B phototherapy a safe treatment option. A study spanning ten years of phototherapy experience at Yonsei Medical Center reported no cases of skin malignancy.

This low dosage does not increase the risk of skin cancer, and UV-B phototherapy remains a very safe treatment.[4] Research citing ten years of experience with phototherapy at Yonsei Medical Center has not revealed any cases of skin malignancy.[5]

However, excessive exposure to ultraviolet radiation, especially at undesirable wavelengths, can cause direct DNA damage, sunburn, and increase the risk of skin cancer.[6] In contrast to low-dose UV-B exposure, UV-A light increases the risk of skin cancer because it penetrates deeper into the epidermis and is typically administered at much higher dosages.

References

  1. ^ http://www.iarc.fr/en/publications/pdfs-online/wrk/wrk1/ArtificialUVRad&Skin4.pdf[full citation needed]
  2. ^ "Treat Psoriasis at Home: Ultraviolet Lamps".
  3. ^ Kalajian, T. A.; Aldoukhi, A.; Veronikis, A. J.; Persons, K.; Holick, M. F. (2017). "Ultraviolet B Light Emitting Diodes (LEDs) Are More Efficient and Effective in Producing Vitamin D3 in Human Skin Compared to Natural Sunlight". Scientific Reports. 7 (1): 11489. Bibcode:2017NatSR...711489K. doi:10.1038/s41598-017-11362-2. PMC 5597604. PMID 28904394.
  4. ^ Lee, Ernest; Koo, John; Berger, Tim (2005). "UVB phototherapy and skin cancer risk: A review of the literature". International Journal of Dermatology. 44 (5): 355–60. doi:10.1111/j.1365-4632.2004.02186.x. PMID 15869531. S2CID 11332443.
  5. ^ Park, Sang Hoon; Hann, Seung Kyung; Park, Yoon Kee (1996). "Ten-year experience of phototherapy in Yonsei Medical Center". Yonsei Medical Journal. 37 (6): 392–96. doi:10.3349/ymj.1996.37.6.392. PMID 9048491.
  6. ^ Matsumura, Yasuhiro; Ananthaswamy, Honnavara N (2004). "Toxic effects of ultraviolet radiation on the skin". Toxicology and Applied Pharmacology. 195 (3): 298–308. doi:10.1016/j.taap.2003.08.019. PMID 15020192.

The action spectrum for Vitamin D3: Initial skin reaction and prolonged exposure