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Photodynamic Therapy : A Therapeutic Method

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Photodynamic therapy (PDT) is a therapeutic method that takes advantage of photochemical reactions between photosensitizing agents, light, and oxygen in order to deliver localized phototoxic effects.1, 2 Since its introduction into mainstream medicine, PDT has become a mainstay in treatment of certain dermatologic disorders such as actinic keratosis, Bowen’s disease, and acne.3 In dermatology, the process of PDT typically involves topical administration of photosensitizers, such as 5-aminolevulinic acid (5-ALA) and methylaminolevulinate (MAL), which are taken up by target cells in the skin. Then, a light source with a specific wavelength is directed toward the target tissue causing activation of the photosensitizing agent. The release of energy from these activated photosensitizers leads to production of reactive oxygen species (ROS) and localized phototoxicity causing selective cell apoptosis and necrosis.2 Because of its non-invasive nature, high efficacy, and low side effect profile, the use of PDT has gained popularity for treatment of many cutaneous diseases.

One of the challenges faced in dermatology is the limited penetration of topical agents through the outer layers of the skin. The stratum corneum, in particular, is a major limiting factor in the absorption of topically applied agents.4 Therefore, topical agents may be effective in treating more superficial dermatoses, but cannot penetrate to sufficient depths for treatment of lesions that extend into the deeper

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