Photodynamic therapy for severe acne

Acne is an inflammatory cutaneous disease affecting the pilosebaceous unit and hair follicles on the face, neck, back, and chest, with a typical onset in adolescence and, in some cases, persisting into adulthood. Systemic treatments with antibiotics or isotretinoin present many limitations, like ant...

Full description

Saved in:
Bibliographic Details
Main Authors: Federica Li Pomi, Mario Vaccaro, Lucia Peterle, Francesco Borgia
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Photodiagnosis and Photodynamic Therapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1572100023006208
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846128230708281344
author Federica Li Pomi
Mario Vaccaro
Lucia Peterle
Francesco Borgia
author_facet Federica Li Pomi
Mario Vaccaro
Lucia Peterle
Francesco Borgia
author_sort Federica Li Pomi
collection DOAJ
description Acne is an inflammatory cutaneous disease affecting the pilosebaceous unit and hair follicles on the face, neck, back, and chest, with a typical onset in adolescence and, in some cases, persisting into adulthood. Systemic treatments with antibiotics or isotretinoin present many limitations, like antimicrobial resistance phenomena and teratogenicity, which appear more relevant in the pediatric population, both for the treatment-related risks and for the reticence of the parents. Photodynamic therapy (PDT) has already shown encouraging results in the treatment of acne in adult patients, with good aesthetic results compared to other therapies and few side effects. However, its use is still not standardized in the pediatric population. On this topic, we report our experience with PDT in a young patient affected by dorsal acne. After five sessions of ALA-PDT at monthly intervals, a remarkable improvement of the lesions was observed, with the healing of the inflamed nodules and pustules, resolution of the painful symptoms, and an acceptable cosmetic outcome. Our case is paradigmatic of the potentiality of PDT to treat difficult and resistant-to-treatment lesions. Despite being time-consuming, this procedure has been demonstrated to be safe and well-tolerated. Lastly, the therapy is also well accepted by parents, due to its minimal invasiveness and mild side effects, compared to the other therapeutic options.
format Article
id doaj-art-1d3bba7ddd18422294799257d8214843
institution Kabale University
issn 1572-1000
language English
publishDate 2024-02-01
publisher Elsevier
record_format Article
series Photodiagnosis and Photodynamic Therapy
spelling doaj-art-1d3bba7ddd18422294799257d82148432024-12-11T05:55:11ZengElsevierPhotodiagnosis and Photodynamic Therapy1572-10002024-02-0145103893Photodynamic therapy for severe acneFederica Li Pomi0Mario Vaccaro1Lucia Peterle2Francesco Borgia3Department of Clinical and Experimental Medicine, Section of Dermatology, University of Messina, 98125 Messina, ItalyDepartment of Clinical and Experimental Medicine, Section of Dermatology, University of Messina, 98125 Messina, ItalyDepartment of Clinical and Experimental Medicine, Section of Dermatology, University of Messina, 98125 Messina, ItalyCorresponding author.; Department of Clinical and Experimental Medicine, Section of Dermatology, University of Messina, 98125 Messina, ItalyAcne is an inflammatory cutaneous disease affecting the pilosebaceous unit and hair follicles on the face, neck, back, and chest, with a typical onset in adolescence and, in some cases, persisting into adulthood. Systemic treatments with antibiotics or isotretinoin present many limitations, like antimicrobial resistance phenomena and teratogenicity, which appear more relevant in the pediatric population, both for the treatment-related risks and for the reticence of the parents. Photodynamic therapy (PDT) has already shown encouraging results in the treatment of acne in adult patients, with good aesthetic results compared to other therapies and few side effects. However, its use is still not standardized in the pediatric population. On this topic, we report our experience with PDT in a young patient affected by dorsal acne. After five sessions of ALA-PDT at monthly intervals, a remarkable improvement of the lesions was observed, with the healing of the inflamed nodules and pustules, resolution of the painful symptoms, and an acceptable cosmetic outcome. Our case is paradigmatic of the potentiality of PDT to treat difficult and resistant-to-treatment lesions. Despite being time-consuming, this procedure has been demonstrated to be safe and well-tolerated. Lastly, the therapy is also well accepted by parents, due to its minimal invasiveness and mild side effects, compared to the other therapeutic options.http://www.sciencedirect.com/science/article/pii/S1572100023006208AcnePhotodynamic therapyPDTChildAdolescenceALA
spellingShingle Federica Li Pomi
Mario Vaccaro
Lucia Peterle
Francesco Borgia
Photodynamic therapy for severe acne
Photodiagnosis and Photodynamic Therapy
Acne
Photodynamic therapy
PDT
Child
Adolescence
ALA
title Photodynamic therapy for severe acne
title_full Photodynamic therapy for severe acne
title_fullStr Photodynamic therapy for severe acne
title_full_unstemmed Photodynamic therapy for severe acne
title_short Photodynamic therapy for severe acne
title_sort photodynamic therapy for severe acne
topic Acne
Photodynamic therapy
PDT
Child
Adolescence
ALA
url http://www.sciencedirect.com/science/article/pii/S1572100023006208
work_keys_str_mv AT federicalipomi photodynamictherapyforsevereacne
AT mariovaccaro photodynamictherapyforsevereacne
AT luciapeterle photodynamictherapyforsevereacne
AT francescoborgia photodynamictherapyforsevereacne