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Article ; Online: Response of vulval lichen sclerosus and squamous hyperplasia to photodynamic treatment using sustained topical delivery of aminolevulinic acid from a novel bioadhesive patch system.

Zawislak, Agnieszka A / McCluggage, William G / Donnelly, Ryan F / Maxwell, Peter / Price, John H / Dobbs, Stephen P / McClelland, H Raymond / Woolfson, A David / Mccarron, Paul A

Photodermatology, photoimmunology & photomedicine

2009  Volume 25, Issue 2, Page(s) 111–113

Abstract: This study evaluated the clinical and histopathological responses of vulval lichen sclerosus (LS) and squamous hyperplasia (SH) to photodynamic therapy (PDT). A novel bioadhesive patch containing aminolevulinic acid (ALA) at a dose of (38 mg/cm(2)) was ... ...

Abstract This study evaluated the clinical and histopathological responses of vulval lichen sclerosus (LS) and squamous hyperplasia (SH) to photodynamic therapy (PDT). A novel bioadhesive patch containing aminolevulinic acid (ALA) at a dose of (38 mg/cm(2)) was used to treat 10 patients before irradiation with light of 630 nm. Clinical, histopathological and pathological responses to treatment were assessed at 6 weeks post-treatment. After 17 cycles of PDT, six patients reported significant symptomatic relief and no cutaneous photosensitivity. Histopathological differences were not demonstrated, but statistically significant induction of apoptosis was seen. It can be concluded that ALA-PDT patch-based formulation is pragmatic and primarily offers symptomatic management of vulval LS and SH.
MeSH term(s) Adhesiveness ; Administration, Cutaneous ; Aminolevulinic Acid/administration & dosage ; Aminolevulinic Acid/pharmacology ; Aminolevulinic Acid/therapeutic use ; Female ; Humans ; Hyperplasia/pathology ; Hyperplasia/therapy ; Photochemotherapy ; Photosensitizing Agents/administration & dosage ; Photosensitizing Agents/pharmacology ; Photosensitizing Agents/therapeutic use ; Vulvar Lichen Sclerosus/pathology ; Vulvar Lichen Sclerosus/therapy
Chemical Substances Photosensitizing Agents ; Aminolevulinic Acid (88755TAZ87)
Language English
Publishing date 2009-04
Publishing country England
Document type Clinical Trial ; Journal Article
ZDB-ID 1028855-7
ISSN 1600-0781 ; 0108-9684 ; 0905-4383
ISSN (online) 1600-0781
ISSN 0108-9684 ; 0905-4383
DOI 10.1111/j.1600-0781.2009.00410.x
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