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Photodynamic therapy: Clinical applications in dermatology.
Jennifer Y Wang1, Nathalie Zeitouni2, Evan Austin1
1Department of Dermatology, State University of New York, Downstate Health Sciences University, Brooklyn, New York.
Journal of the American Academy of Dermatology
|February 22, 2025
Summary
Photodynamic therapy (PDT) offers a safe, non-invasive treatment for various skin conditions by using light-activated photosensitizers. This overview details PDT
Area of Science:
- Dermatology
- Photomedicine
Background:
- Photodynamic therapy (PDT) is a non-invasive treatment using photosensitizers and light to generate reactive oxygen species for therapeutic effects.
- PDT is FDA-approved for actinic keratoses and used off-label for numerous dermatologic conditions, demonstrating a favorable safety profile.
Purpose of the Study:
- To provide a comprehensive overview of the dermatologic clinical applications of Photodynamic Therapy (PDT).
- To guide dermatologists in understanding and incorporating evidence-based PDT protocols for improved patient outcomes.
Main Methods:
- Review of existing literature and clinical evidence for Photodynamic Therapy (PDT) applications in dermatology.
- Clinical descriptions and treatment protocols for various dermatologic diseases managed with PDT.
Main Results:
- PDT is effective for actinic keratoses and has demonstrated utility in treating basal cell carcinoma, cutaneous squamous cell carcinoma in situ, acne, and more.
- The therapy is also used for port wine stains, cutaneous infections, photoaging, actinic cheilitis, mycosis fungoides, rosacea, alopecia areata, and Extramammary Paget disease.
Conclusions:
- Photodynamic therapy (PDT) is a versatile and safe treatment option for a wide range of dermatologic conditions.
- Understanding the expanding evidence-based applications of PDT is crucial for optimizing patient care and treatment protocols.
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