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Amino levulinic acid (Levulan)

ALA + O2 + Light ‡ O-

ALA-based PDT (B). Application of ALA bypasses the rate-determining action of heme on ALA-synthase. Increased PBG-deaminase and decreased ferrochelatase activities in rapid proliferating cells result in high accumulation of protoporphyrin IX in these tissues.





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Fluorescence microscopy showing PpIX production greater in sebaceous gland (s) than in hair follicle (f) Hongcharu et al. J Invest. Dermatol 2000; 115:183-92.

Levulan PDT of the back – partially & completely destroyed sebaceous glands Hongcharu et al. J Invest. Dermatol 2000; 115:183-92.


ALA-PDT in the treatment of AK's


ALA-PDT in the treatment of sBCC


ALA-PDT in the treatment of Bowen's disease
 

 

Q & A by Dr. Claudio De Lorenzi CFTO News: Pat Foran looks at Levulan acne treatment.
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