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J Eur Acad Dermatol Venereol. 2015 Sep;29(9):1718-23. doi: 10.1111/jdv.12974. Epub 2015 Jan 28.

Practical approach to the use of daylight photodynamic therapy with topical methyl aminolevulinate for actinic keratosis: a European consensus.

Author information

1
Department of Dermatology, Stirling Community Hospital, Stirling, UK.
2
Department of Dermatology, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.
3
Department of Dermatology and Allergology, Klinikum Vest GmbH Academic Teaching Hospital, Recklinghausen, Germany.
4
Department of Dermatology, Hospital San Jorge, Huesca, Spain.
5
Département de Dermatologie, Hôpital Saint-Louis, Paris, France.
6
First Dermatology Department, Aristotle University, Thessaloniki, Greece.
7
Unit of Dermatology, Department of Medicine, University of Padova, Padova, Italy.
8
Department of Dermatology, Inselspital, University of Bern, Bern, Switzerland.
9
Department of Dermatology, Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis UZ Brussel, Brussels, Belgium.
10
Department of Dermatology and Venereology, Medical University, Innsbruck, Innsbruck, Austria.
11
Dermatology, Bern, Im Holenacker 16, CH-3063, Ittigen, Switzerland.

Abstract

INTRODUCTION:

Daylight-mediated photodynamic therapy has been shown to be an effective therapy for actinic keratoses (AKs) and a simple and tolerable treatment procedure in three randomized Scandinavian studies and two recent Phase III randomized controlled studies in Australia and Europe.

OBJECTIVES:

To establish consensus recommendations for the use of daylight photodynamic therapy (DL-PDT) using topical methyl aminolaevulinate (MAL) in European patients with AKs.

METHODS:

The DL-PDT consensus recommendations were developed on behalf of the European Society for Photodynamic Therapy in Dermatology and comprised of 10 dermatologists from different European countries with experience in how to treat AK patients with PDT. Consensus was developed based on literature review and experience of the experts in the treatment of AK using DL-PDT.

RESULTS:

The recommendations arising from this panel of experts provide general guidance on the use of DL-PDT as a dermatological procedure with specific guidance regarding patient selection, therapeutic indications, when to treat, pre-treatment skin preparation, MAL application and daylight exposure for patients with AK in different countries of Europe.

CONCLUSIONS:

This consensus recommendation provides a framework for physicians to perform DL-PDT with MAL cream while ensuring efficiency and safety in the treatment of patients with AK in different European countries.

PMID:
25627399
DOI:
10.1111/jdv.12974
[Indexed for MEDLINE]

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