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A review of photodynamic therapy in cutaneous leishmaniasis.
van der Snoek, E M; Robinson, D J; van Hellemond, J J; Neumann, H A M.
Afiliación
  • van der Snoek EM; Department of Dermatology, Center for Optical Diagnostics and Therapy, Erasmus MC, Rotterdam, The Netherlands. e.vandersnoek@erasmusmc.nl
J Eur Acad Dermatol Venereol ; 22(8): 918-22, 2008 Aug.
Article en En | MEDLINE | ID: mdl-18624853
We present a review of six clinical studies investigating the use of photodynamic therapy (PDT) using porphyrin precursors for the treatment of Old World cutaneous leishmaniasis (CL). Thirty-nine patients with a total of 77 lesions received PDT using a range of treatment schedules following topical application of aminolevulinic acid (ALA) or methyl-aminolevulinate (MAL). The tissue response to PDT is accompanied by a mild burning sensation, erythema and reversible hypo- and hyperpigmentation. Few mechanistic studies have addressed the principles underlying the use of PDT for CL. All six reviewed papers suggest that PDT with porphyrin precursors is relatively effective in treating CL. Data are still limited, and PDT cannot at this point be recommended in routine clinical practice. The mechanism of action of this promising therapeutic modality needs to investigated further and additional controlled trials need to be performed.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fotoquimioterapia / Leishmaniasis Cutánea Límite: Humans Idioma: En Revista: J Eur Acad Dermatol Venereol Asunto de la revista: DERMATOLOGIA / DOENCAS SEXUALMENTE TRANSMISSIVEIS Año: 2008 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fotoquimioterapia / Leishmaniasis Cutánea Límite: Humans Idioma: En Revista: J Eur Acad Dermatol Venereol Asunto de la revista: DERMATOLOGIA / DOENCAS SEXUALMENTE TRANSMISSIVEIS Año: 2008 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido