SDPA Summer | Live Blog | Light Based Therapies
For the second lecture of the pre-conference day of the SDPA’s Annual Summer Dermatology Conference, Dr. Dore John Gilbert discussed his experience with office based light therapies including photodynamic therapy (PDT) and intense pulse light (IPL). With regard to PDT, Dr. Gilbert expressed the ability of PDT with ALA (amino levulinic acid) to “pick up atypical cells early to help save on (skin cancer) surgery later”. For patients with a history of numerous actinic keratoses and superficial basal cell and squamous cell cancers, PDT offers a treatment option that can help decrease recurrence of skin cancers, as well as, decrease or even prevent future actinic keratoses and skin cancers. Pain is unfortunately the most common complaint and varies greatly among patients and even among treatments. Dr. Gilbert stated his patients have rated pain with PDT treatment from “no big deal” to “I won’t ever do this again”. In addition to pain, Dr. Gilbert relayed the variation in downtime among patients noting that women tend to recover faster than men.
While effective for acne, the downtime and erythema that most patients experience often limits this as a common choice for the young patient for acne treatment. Dr. Gilbert also reviewed incubation times for PDT based on body site, as well as, different pre-procedural preparation of the skin with topical agents or IPL prior to PDT.
He also stated that patients may notice improvement of benign skin conditions such as hyperpigmentation and sebaceous hyperplasia with PDT.
Dr. Gilbert employs a PA in his practice, who also happens to be his daughter!
Byline: Sarah Patton, PA-C, MSHS
Posted: June 1, 2017