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Photodynamic therapy of necrobiosis lipoidica--a multicenter study of 18 patients

C. Berking, J. Hegyi, P. Arenberger, T. Ruzicka, GB. Jemec,

. 2009 ; 218 (2) : 136-139. [pub] 20081206

Jazyk angličtina Země Švýcarsko

Typ dokumentu časopisecké články, multicentrická studie

Perzistentní odkaz   https://www.medvik.cz/link/bmc20014364
E-zdroje Online Plný text

NLK Karger Journals od 1992 do 2009
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Medline Complete (EBSCOhost) od 2005-01-01 do Před 1 rokem
Nursing & Allied Health Database (ProQuest) od 1998-01-01 do 2015-11-30
Health & Medicine (ProQuest) od 1998-01-01 do 2015-11-30

BACKGROUND: Necrobiosis lipoidica (NL) is a granulomatous skin disease of unknown origin, and no reliably effective treatment option exists to handle this often disfiguring disease. Recently, a patient with long-lasting NL was reported to be cured by topical photodynamic therapy (PDT). OBJECTIVE: To evaluate the overall potential of PDT in the treatment of NL on the lower legs. METHODS: Retrospective study of 18 patients (aged 16-62 years) from 3 European university departments of dermatology treated with PDT for NL. Methyl aminolevulinate or 5-aminolevulinic acid were used as topically applied photosensitizers. Illumination followed with red light-emitting diode light. RESULTS: Complete response was seen in 1/18 patients after 9 PDT cycles, and partial response in 6/18 patients (2-14 PDT cycles) giving an overall response rate of 39% (7/18). CONCLUSION: Although almost 40% of the cases showed some degree of response, PDT cannot currently be recommended as first-line therapy of NL. Subpopulations of therapy-resistant NL patients may, however, benefit from PDT.

Citace poskytuje Crossref.org

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