Long-term Improvement on Photoaging After ALA Photodynamic Therapy for Actinic Keratosis: A Retrospective Study.

Abstract:

BACKGROUND:5-aminolevulinic acid photodynamic therapy (ALA-PDT) is not only the first-line treatment for actinic keratosis (AK), but also demonstrated to improve photoaging during AK field treatment. However, its long-term improvement effect on photoaging remains elusive. OBJECTIVE:To evaluate the long-term improvement effect of ALA-PDT on photoaging. METHODS:The data of 10 patients with AK who received field-directed ALA-PDT on one side of the face and lesion-directed ALA-PDT on the other side were retrospectively reviewed. Their clinical photographs were evaluated with Global scores of photoaging (GSP) assessment independently by two dermatologists at baseline and 1 month, 6 months and 24 months after ALA-PDT. RESULTS:GSP evaluation was performed after 24 months of follow-up. Improvements in the fine line and mottled pigmentation were observed (p < 0.05). All the 10 patients achieved complete response of AK lesions and had no relapse during the 24-month follow-up period. LIMITATION:A small sample size. CONCLUSION:Photoaging can be effectively alleviated in the long-term follow-up after ALA-PDT treatment for AK. The present study may inspire new treatment strategies for photoaging.

authors

Zhang L,Zhao Z,Wang P,Zhang G,Wang B,Shi L,Liu X,Zhou Z,Wang X

doi

10.1016/j.pdpdt.2021.102181

subject

Has Abstract

pub_date

2021-01-08 00:00:00

pages

102181

eissn

1572-1000

issn

1873-1597

pii

S1572-1000(21)00007-7

pub_type

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