Photodynamic Therapy Mask
Approximately 10-15% of actinic keratoses will develop into a Squamous Cell Carcinoma skin cancer if not affectively treated. Fortunately, there are many treatment options that can be used depending on how conservative or aggressive the patient wants to be. The most common treatment is the use of liquid nitrogen, an extremely cold substance, that is sprayed directly onto the individual actinic keratosis, causing pain, redness and a blister that heals in seven to 10 days.
The immune modulating creams (5-Fluoroacuracil, imiquimod, Ingenol Mebutate, and Diclofenac) are quite effective but typically cause significant redness, scaling and swelling for two to three weeks. Photodynamic therapy (PDT) is a newer treatment that involves a photosensitizing agent that is stimulated by a specific light source and has proven to be an innovative approach to treating large numbers of actinic keratoses with minimal downtime.
This approach involves the application of the photosensitizing agent Ameluz (aminolevulinic acid hydrochloride) on the areas to be treated. The product is left on the skin and allowed to incubate for 90 minutes. Then the treatment area is exposed to the BF-Rhodo high efficiency lamp for 10 minutes. The BF-RhodoLED emits a red light at a specific wavelength that stimulates the Ameluz gel that has been selectively absorbed by thy sun damaged skin cells.
The stimulated Ameluz gel creates an inflammatory response that leads to destruction of the actinic keratoses. The patient experiences some pain and burning during the 10 minutes, but a built-in fan makes the treatment bearable. Sunscreen is applied immediately upon completing the session and redness, scaling, and sensitivity to the sun persists for five to seven days. The shorter healing time is preferred to the two to three weeks it takes to heal from the topical immune modulating agents.
Squamous Cell
Treatment Options Given the pain caused by the liquid nitrogen, large numbers of actinic keratoses are best treated by the use of topical immune modulating creams or a by a unique form of phototherapy cause photodynamic therapy.
WINTER 2020
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