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Rheumatology International

, Volume 19, Issue 3, pp 77–82 | Cite as

Immediate and delayed effects of treatment at the Dead Sea in patients with psoriatic arthritis

  • O. Elkayam
  • J. Ophir
  • S. Brener
  • D. Paran
  • I. Wigler
  • D. Efron
  • Z. Even-Paz
  • Y. Politi
  • M. Yaron
ORIGINAL ARTICLE

Abstract

The purpose of this study was to evaluate the immediate and delayed effects of balneotherapy at the Dead Sea on patients with psoriatic arthritis (PsA). A total of 42 patients with PsA were treated at the Dead Sea for 4 weeks. Patients were randomly allocated into two groups: group 1 (23 patients) and group 2 (19 patients). Both groups received daily exposure to sun ultraviolet rays and regular bathing at the Dead Sea. Group 1 was also treated with mud packs and sulfur baths. Patients were assessed by a dermatologist and a rheumatologist 3 days before arrival, at the end of treatment, and at weeks 8, 16, and 28 from the start of treatment. The clinical indices assessed were morning stiffness, right and left hand grip, number of tender joints, number of swollen joints, Schober test, distance from finger to floor when bending forward, patient's self-assessment of disease severity, inflammatory neck and back pain and psoriasis area and severity index (PASI) score. Comparison between groups disclosed a similar statistically significant improvement for variables such as PASI, morning stiffness, patient self-assessment, right and left grip, Schober test and distance from finger to floor when bending forward. For variables such as tender and swollen joints, and inflammatory neck and back pain, improvement over time was statistically significant in group 1. Addition of mud packs and sulfur baths to sun ultraviolet exposure and Dead Sea baths seems to prolong beneficial effects and improves inflammatory back pain.

Key words Psoriatic arthritis Dead Sea Spa 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2000

Authors and Affiliations

  • O. Elkayam
    • 1
  • J. Ophir
    • 2
  • S. Brener
    • 2
  • D. Paran
    • 1
  • I. Wigler
    • 1
  • D. Efron
    • 3
  • Z. Even-Paz
    • 3
  • Y. Politi
    • 2
  • M. Yaron
    • 1
  1. 1.Department of Rheumatology, Tel Aviv Medical Center, Sackler Faculty of Medicine, University of Tel Aviv Ichilov Hospital, 6 Weizman Street, Tel Aviv 64239, IsraelIL
  2. 2.Department of Dermatology, Tel Aviv Medical Center, Sackler Faculty of Medicine, University of Tel Aviv, IsraelIL
  3. 3.Dead Sea Resorts, IsraelIL

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