PMID- 29322431 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220410 IS - 2193-8210 (Print) IS - 2190-9172 (Electronic) VI - 8 IP - 1 DP - 2018 Mar TI - Daylight Photodynamic Therapy Versus 5-Fluorouracil for the Treatment of Actinic Keratosis: A Case Series. PG - 137-141 LID - 10.1007/s13555-017-0219-9 [doi] AB - INTRODUCTION: The incidence of actinic keratosis (AK) continues to increase worldwide. Currently available options for the treatment of AK include topical 5-fluorouracil (5-FU) and daylight-mediated photodynamic therapy (DL-PDT). This split-face pilot study compared DL-PDT using 16% methyl aminolevulinate (MAL) cream versus 5-FU cream in patients with AK on the face/scalp. METHODS: Five male subjects (mean age 70 years) with grade I-III AK on the face/scalp were enrolled. Subjects received a single session of DL-PDT with 16% MAL on one side and topical 5% 5-FU for 21 days on the other side. Evaluations of efficacy, safety, and subject satisfaction were conducted 48 h, 7 days, 14 days, 1 month, and 3 months after treatment. RESULTS: At 3 months, the lesion complete response rate was 80% and 93% for DL-PDT and 5-FU, respectively. Lesion partial response was 20% and 7%, respectively. Fewer treatment-related adverse events (AEs) were reported with DL-PDT than with 5-FU, and they resolved spontaneously in 5-7 and 27-30 days, respectively. Subjects preferred DL-PDT because of the lower incidence of AEs and rapid recovery compared with 5-FU. CONCLUSION: DL-PDT is a convenient alternative to 5-FU with good efficacy and a favorable safety profile, allowing patients to effectively treat their AK without compromising their social life. FUNDING: Galderma. FAU - Galimberti, Gaston Nestor AU - Galimberti GN AUID- ORCID: 0000-0003-3537-9148 AD - Department of Dermatology, School of Medicine, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. gaston.galimberti@gmail.com. LA - eng GR - N/A/Galderma/ PT - Journal Article DEP - 20180110 PL - Switzerland TA - Dermatol Ther (Heidelb) JT - Dermatology and therapy JID - 101590450 PMC - PMC5825324 OTO - NOTNLM OT - 5-Fluorouracil OT - Cancerization field OT - Daylight-mediated photodynamic therapy OT - Methyl aminolevulinate OT - Photodamage EDAT- 2018/01/13 06:00 MHDA- 2018/01/13 06:01 PMCR- 2018/01/10 CRDT- 2018/01/12 06:00 PHST- 2017/11/23 00:00 [received] PHST- 2018/01/13 06:00 [pubmed] PHST- 2018/01/13 06:01 [medline] PHST- 2018/01/12 06:00 [entrez] PHST- 2018/01/10 00:00 [pmc-release] AID - 10.1007/s13555-017-0219-9 [pii] AID - 219 [pii] AID - 10.1007/s13555-017-0219-9 [doi] PST - ppublish SO - Dermatol Ther (Heidelb). 2018 Mar;8(1):137-141. doi: 10.1007/s13555-017-0219-9. Epub 2018 Jan 10.