Format

Send to

Choose Destination
Eur J Dermatol. 2014 Jul-Aug;24(4):444-56. doi: 10.1684/ejd.2014.2347.

Evidence-based review of photodynamic therapy in the treatment of acne.

Author information

1
Department of Dermatology, The First Hospital of China Medical University, 155 North Nanjing Street, Shenyang 110001, China, Cosmetic Dermatology & Laser in Aesthetic Surgery, Hangzhou Plastic Surgery Hospital, Hangzhou, 310014, China.
2
Department of Dermatology, The First Hospital of China Medical University, 155 North Nanjing Street, Shenyang 110001, China.

Abstract

BACKGROUND:

Photodynamic therapy (PDT) has been used for acne, however, the efficacy and safety need to be determined.

OBJECTIVE:

To assess the effects and safety of PDT for acne using an evidence-based approach.

METHODS:

Randomized controlled trials (RCTs) on the treatment of acne with PDT were identified by searching PubMed, CNKI and the Cochrane Library.

RESULTS:

A total of 14 RCTs involving 492 patients were included. Photosensitizers included aminolevulinic acid (ALA), methylaminolevulinate (MAL), and indole-3-acetic acid (IAA). Light sources included red light, pulsed dye laser (PDL), intense pulsed light (IPL), long-pulsed dye laser (LPDL) and green light. The PDT protocols, including ALA + red light, ALA + PDL, ALA + IPL, MAL + red light, and MAL + LPDL, all showed great efficacy on inflammatory lesions. ALA + red light also had effects on non-inflammatory lesions and sebum secretion. ALA + IPL and IAA + green light significantly decreased sebum secretion. Triple treatment protocols showed great improvement on inflammatory and non-inflammatory lesions. Increasing ALA concentration, ALA incubation time, PDT sessions, dose of light source or using occlusion for photosensitizers, or a combination of other treatments with PDT may achieve greater efficacy. The common side effects of PDT were tolerable and transient.

CONCLUSION:

Limited evidence indicates that PDT shows good efficacy in the treatment of acne with acceptable side effects. ALA + red light was shown to be the optimal choice. However, more RCTs are needed to determine the types and concentrations of photosensitizers and light sources, and the duration of light activation and incubation.

KEYWORDS:

acne; photodynamic therapy; randomized controlled trial

PMID:
24899367
DOI:
10.1684/ejd.2014.2347
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for John Libbey Eurotext
Loading ...
Support Center