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用于皮肤病的局部光动力疗法:结果与并发症

Topical photodynamic therapy for dermatologic disorders: results and complications.

作者信息

Redbord Kelley Pagliai, Hanke C William

机构信息

Laser and Skin Surgery Center of Indiana, St. Vincent Hospital, Indianapolis, IN 46032, USA.

出版信息

J Drugs Dermatol. 2007 Dec;6(12):1197-202.

PMID:18189059
Abstract

BACKGROUND

Topical photodynamic therapy (PDT) involves the use of a photosensitizing topical medication that is activated by a light source in the presence of oxygen leading to cellular destruction and subsequent photorejuvenation. In 1999, the US FDA approved PDT for the treatment of nonhyperkeratotic actinic keratoses (AKs) on the face and scalp.

OBSERVATIONS

The study population comprised 85 patients treated with short-contact, topical aminolevulinic acid (ALA)-PDT for a total of 247 treatments. Ninety percent of patients with a variety of dermatologic disorders had significant improvement or total clearance. Ninety-eight percent of patients had no complications. Only 2 patients in our series had a significant complication.

CONCLUSIONS

Short-contact, topical ALA-PDT is a safe and effective treatment for a variety of dermatologic disorders including photoaging and AKs.

摘要

背景

局部光动力疗法(PDT)涉及使用一种光敏性局部用药,该药物在氧气存在下由光源激活,导致细胞破坏并随后实现皮肤年轻化。1999年,美国食品药品监督管理局(FDA)批准PDT用于治疗面部和头皮的非角化过度性光化性角化病(AKs)。

观察结果

研究人群包括85例接受短接触局部氨基酮戊酸(ALA)-PDT治疗的患者,共进行了247次治疗。90%患有各种皮肤病的患者有显著改善或完全清除。98%的患者无并发症。我们系列中只有2例患者出现严重并发症。

结论

短接触局部ALA-PDT是治疗包括光老化和AKs在内的各种皮肤病的一种安全有效的方法。

相似文献

1
Topical photodynamic therapy for dermatologic disorders: results and complications.用于皮肤病的局部光动力疗法:结果与并发症
J Drugs Dermatol. 2007 Dec;6(12):1197-202.
2
Photodynamic therapy using aminolaevulinic acid for patients with nonhyperkeratotic actinic keratoses of the face and scalp: phase IV multicentre clinical trial with 12-month follow up.使用氨基乙酰丙酸对面部和头皮非角化过度性光化性角化病患者进行光动力疗法:一项为期12个月随访的IV期多中心临床试验。
Br J Dermatol. 2006 Dec;155(6):1262-9. doi: 10.1111/j.1365-2133.2006.07520.x.
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Photodynamic therapy of actinic keratosis with topical 5-aminolevulinic acid. A pilot dose-ranging study.外用5-氨基酮戊酸光动力疗法治疗光化性角化病。一项剂量范围探索性研究。
Arch Dermatol. 1997 Jun;133(6):727-32.
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Randomized, double-blind, prospective study to compare topical 5-aminolaevulinic acid methylester with topical 5-aminolaevulinic acid photodynamic therapy for extensive scalp actinic keratosis.一项随机、双盲、前瞻性研究,比较外用5-氨基乙酰丙酸甲酯与外用5-氨基乙酰丙酸光动力疗法治疗广泛性头皮光化性角化病的效果。
Br J Dermatol. 2007 Jul;157(1):87-91. doi: 10.1111/j.1365-2133.2007.07946.x. Epub 2007 May 14.
5
Photodynamic therapy with aminolevulinic acid topical solution and visible blue light in the treatment of multiple actinic keratoses of the face and scalp: investigator-blinded, phase 3, multicenter trials.外用氨基酮戊酸溶液联合可见蓝光光动力疗法治疗面部和头皮多发性光化性角化病:研究者设盲的3期多中心试验。
Arch Dermatol. 2004 Jan;140(1):41-6. doi: 10.1001/archderm.140.1.41.
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Aminolevulinic acid (Levulan) in photodynamic therapy of actinic keratoses.氨基乙酰丙酸(Levulan)在光动力疗法治疗光化性角化病中的应用
Skin Therapy Lett. 2001 Sep;6(10):1-2, 5.
7
5-aminolevulinic acid photodynamic therapy: where we have been and where we are going.5-氨基酮戊酸光动力疗法:我们的过去与未来
Dermatol Surg. 2004 Aug;30(8):1077-83; discussion 1083-4. doi: 10.1111/j.1524-4725.2004.30331.x.
8
Short incubation PDT versus 5-FU in treating actinic keratoses.短疗程光动力疗法与5-氟尿嘧啶治疗光化性角化病的对比
J Drugs Dermatol. 2003 Dec;2(6):629-35.
9
Photodynamic therapy with low-strength ALA, repeated applications and short contact periods (40-60 minutes) in acne, photoaging and vitiligo.采用低强度ALA进行光动力疗法,重复应用且接触时间较短(40 - 60分钟),用于治疗痤疮、光老化和白癜风。
J Drugs Dermatol. 2009 Jun;8(6):562-8.
10
Severe cutaneous reaction to photodynamic therapy with blue light.蓝光光动力疗法引起的严重皮肤反应。
J Drugs Dermatol. 2011 Sep;10(9):1057-8.

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Br J Cancer. 2016 Sep 27;115(7):805-13. doi: 10.1038/bjc.2016.267. Epub 2016 Aug 30.
2
Her2 oncogene transformation enhances 5-aminolevulinic acid-mediated protoporphyrin IX production and photodynamic therapy response.Her2癌基因转化增强5-氨基乙酰丙酸介导的原卟啉IX生成及光动力治疗反应。
Oncotarget. 2016 Sep 6;7(36):57798-57810. doi: 10.18632/oncotarget.11058.
3
Therapeutic and aesthetic uses of photodynamic therapy part one of a five-part series: the use of photodynamic therapy in the treatment of actinic keratoses and in photorejuvenation.
光动力疗法的治疗及美容用途:五部分系列文章之一,光动力疗法在治疗光化性角化病及嫩肤中的应用
J Clin Aesthet Dermatol. 2008 Jul;1(2):32-7.
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The impact of the current United States guidelines on the management of actinic keratosis: is it time for an update?美国现行光化性角化病管理指南的影响:是时候更新了吗?
J Clin Aesthet Dermatol. 2010 Nov;3(11):20-5.
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