5-aminolaevulinic acid patch photodynamic therapy for the treatment of actinic keratoses: preliminary results from an italian study in the real-life setting

Ketty Peris, Carmelo Alberto Dattola, Erika Valentina De Luca, Maria Concetta Fargnoli, Annunziata Dattola, Carlota Gutiérrez Garcìa-Rodrigo, Virginia Garofalo, Astrid Lappi, Luca Bianchi, Elena Campione, Maria C. Fargnoli

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

BACKGROUND: Photodynamic therapy (PDT) is recommended for both lesion and field therapy of actinic keratoses (AKs). The 5-amino-laevulinic acid (5-ALA) patch PDT is indicated for the treatment of isolated mild AKs (≤1.8 cm) on the face and bald scalp. It was demonstrated to be effective and safe in clinical trials with a good tolerability profile. METHODS: In this retrospective multicenter real-life study, 33 patients with a total of 99 AKs of the scalp, face, ears, and/or hands and 2 actinic cheilitis were treated with one treatment session of 5-ALA patch PDT with a red light source (total dose of 37 J/cm2). RESULTS: Overall, 12 weeks after treatment, 68/99 (69%) lesions were completely cleared. Complete response was obtained in 82% of AKs on the ears, 78% on the face, 57% on the hands, and 56% on the scalp and in the two actinic cheilitis. The treatment was very effective on grade I AKs, cleared in 87% of the cases and less efficient on grade II–III lesions, cleared in 47% of the cases. 5-ALA patch PDT was well tolerated with a good to excellent cosmetic outcome in 97% of the patients and with 94% of the patients being satisfied or very satisfied with the treatment. CONCLUSIONS: Our results confirm that 5-ALA patch PDT is a good option for AK treatment in clinical practice, it is easy to use, effective and well tolerated even in difficult-to-treat-areas. Moreover, it has an excellent cosmetic outcome.
Lingua originaleEnglish
pagine (da-a)636-641
Numero di pagine6
RivistaGIORNALE ITALIANO DI DERMATOLOGIA E VENEREOLOGIA
Volume155
DOI
Stato di pubblicazionePubblicato - 2020

Keywords

  • Actinic
  • Dermatology
  • Keratosis
  • Photochemotherapy

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