At the Dead Sea spas, which are 400 m below sea level, both the ultrav
iolet radiation from the sun and the mineral-rich waters of the lake h
ave special features, The separate influence of these two factors was
studied in 81 patients with psoriasis, The condition was assessed duri
ng 4 weeks of treatment using the psoriasis area and severity index (P
ASI), In subjects who only bathed in Dead Sea water the improvement wa
s 28%, in those who only sunbathed it was 73%, and in those who did bo
th it was 83%, The main therapeutic factor was thus shown to be sun ex
posure, possibly enhanced by bathing in Dead Sea water, Similar degree
s of improvement in spring, summer and autumn led to speculation about
the optimum dose of solar radiation needed.