{"translation_price":"50","translation_doc_price":"40","child_coefficient":"1.1","transfer_price":"2.00","transfer_price_vip":"5.00","constant_transfer_price_vip":350,"constant_transfer_price":150,"constant_transfer_distanse":60,"type":"treatment","program_full_story":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>Clinical history taking<\/li>\n\t<li>Review of medical records<\/li>\n\t<li>Physical examination<\/li>\n\t<li>Dermatological examination<\/li>\n\t<li>Laboratory tests:\n\t<ul>\n\t\t<li>Complete blood count<\/li>\n\t\t<li>Biochemical blood test<\/li>\n\t\t<li>Indicators of inflammation<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>Consultation of related specialists, if indicated<\/li>\n\t<li>Performing PUVA therapy (treating physician determines a number of sessions)<\/li>\n\t<li>Cost of essential medicines and materials<\/li>\n\t<li>Nursing services<\/li>\n\t<li>Control examinations<\/li>\n\t<li>Recommendations for follow-up<\/li>\n<\/ul>\n<div class=\"program_indications_for_surgery\"><h4>Indications<\/h4><ul>\n\t<li>Widespread vitiligo<\/li>\n\t<li>Vitiligo in sun-exposed body areas<\/li>\n<\/ul>\n<\/div><div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align:justify\"><strong>Day 1<\/strong>. Initial presentation at the clinic. After consultation with the attending physician and examination, the patient undergoes the necessary tests. These include blood tests and dermatological examination.<\/p>\n\n<p style=\"text-align:justify\"><strong>Days 2-34<\/strong>. The doctor evaluates the examination results and develops an individual PUVA therapy scheme. Depending on the spreading of vitiligo, the course of treatment consists of 15-25 procedures (2-3 procedures per week). 2 hours before the procedure, the patient takes a photosensitizing drug, which accumulates intensively in areas of the skin without melanin. Immediately before the procedure, the patient puts on glasses and covers healthy skin areas. Using special equipment, the doctor irradiates the areas of the skin affected by vitiligo with long-wave ultraviolet light. The doctor selects the radiation dose individually, depending on the gender, age, height and weight of the patient. The doctor monitors the skin&#39;s response to treatment, namely the appearance of erythema (redness). In the absence of erythema, a single dose of radiation during the next procedure is increased by 10-20%; in the presence of erythema, the radiation dose remains constant. PUVA therapy is tolerated well. If skin dryness appears, the patient can use non-irritating and unscented moisturizers.<\/p>\n\n<p style=\"text-align:justify\"><strong>Day 35<\/strong>. The doctor evaluates the results of the treatment, conducts a follow-up examination, elaborates recommendations for the follow-up. If necessary, the doctor may recommend a repeated course of PUVA therapy in 1-3 months.<\/p>\n\n<p style=\"text-align:justify\"><strong>The duration of the treatment course and the number of PUVA therapy sessions are determined by the doctor individually, during the initial presentation at the clinic.<\/strong><\/p>\n<\/div><div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li>Photos of the affected skin areas<\/li>\n\t<li>Examination of dermatologist<\/li>\n\t<li>Biochemical blood test, if available<\/li>\n<\/ul>\n<\/div>","program_full_story_crm":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>Clinical history taking<\/li>\n\t<li>Review of medical records<\/li>\n\t<li>Physical examination<\/li>\n\t<li>Dermatological examination<\/li>\n\t<li>Laboratory tests:\n\t<ul>\n\t\t<li>Complete blood count<\/li>\n\t\t<li>Biochemical blood test<\/li>\n\t\t<li>Indicators of inflammation<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>Consultation of related specialists, if indicated<\/li>\n\t<li>Performing PUVA therapy (treating physician determines a number of sessions)<\/li>\n\t<li>Cost of essential medicines and materials<\/li>\n\t<li>Nursing services<\/li>\n\t<li>Control examinations<\/li>\n\t<li>Recommendations for follow-up<\/li>\n<\/ul>\n<div class=\"program_indications_for_surgery\"><h4>Indications<\/h4><ul>\n\t<li>Widespread vitiligo<\/li>\n\t<li>Vitiligo in sun-exposed body areas<\/li>\n<\/ul>\n<\/div><div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align:justify\"><strong>Day 1<\/strong>. Initial presentation at the clinic. After consultation with the attending physician and examination, the patient undergoes the necessary tests. These include blood tests and dermatological examination.<\/p>\n\n<p style=\"text-align:justify\"><strong>Days 2-34<\/strong>. The doctor evaluates the examination results and develops an individual PUVA therapy scheme. Depending on the spreading of vitiligo, the course of treatment consists of 15-25 procedures (2-3 procedures per week). 2 hours before the procedure, the patient takes a photosensitizing drug, which accumulates intensively in areas of the skin without melanin. Immediately before the procedure, the patient puts on glasses and covers healthy skin areas. Using special equipment, the doctor irradiates the areas of the skin affected by vitiligo with long-wave ultraviolet light. The doctor selects the radiation dose individually, depending on the gender, age, height and weight of the patient. The doctor monitors the skin&#39;s response to treatment, namely the appearance of erythema (redness). In the absence of erythema, a single dose of radiation during the next procedure is increased by 10-20%; in the presence of erythema, the radiation dose remains constant. PUVA therapy is tolerated well. If skin dryness appears, the patient can use non-irritating and unscented moisturizers.<\/p>\n\n<p style=\"text-align:justify\"><strong>Day 35<\/strong>. The doctor evaluates the results of the treatment, conducts a follow-up examination, elaborates recommendations for the follow-up. If necessary, the doctor may recommend a repeated course of PUVA therapy in 1-3 months.<\/p>\n\n<p style=\"text-align:justify\"><strong>The duration of the treatment course and the number of PUVA therapy sessions are determined by the doctor individually, during the initial presentation at the clinic.<\/strong><\/p>\n<\/div>","is_ambulant":"1","bh_fee":0,"only_for_children":"0","no_service":"0","with_prepayment":"1","show_calculator":"1","paket_type":"1","btn_type":"2","clinic_icon":"5ff5c3e4b771a.jpg","city":"Kassel","clinic_site":"https:\/\/www.gesundheit-nordhessen.de\/klinikum-kassel\/","department_recommend":"0","country":"Germany","country_id":"1","clinic_name":"Hospital Kassel","cinic_name":"Hospital Kassel","department_id":"4471","duration":"35","direction":"Dermatology","min_duration":0,"clinic_id":"3112","paketPrice":850,"paket":"<ul>\n <li>Interpreter up to 3 hours<\/li>\n <li>Translation of 2 pages<\/li>\n<\/ul>","title":"Treatment of vilitigo with PUVA therapy (15 sessions)","price":{"val":"0.00","type":"val"},"price_surcharge":0,"price_surcharge_clear":0,"extra_service_clinic":[],"extra_service":[],"translation_hours":"0","translation_doc_count":null,"roads":[{"id":"6","distance":"203","airport_title":"Frankfurt a.M."},{"id":"4","distance":"230","airport_title":"Duesseldorf"},{"id":"7","distance":"253","airport_title":"Cologne-Bonn"}],"pakets":[],"lang":{"day":"Day","days":"days","ambulatory":"Outpatient","stationaryProgram":"Inpatient"}}