EFFECTIVENESS OF COMBINED SEQUENTIAL THERAPY OF ACTINIC KERATOSIS

Authors

  • T. V. Svyatenko Dnipropetrovsk Medical Academy
  • V. S. Hlushok I. Horbachevsky Ternopil National Medical University
  • T. S. Shkrobot Ternopil Regional Clinical Dermatovenerologic Dispensary

DOI:

https://doi.org/10.11603/1811-2471.2020.v.i1.11083

Keywords:

actinic keratosis (AK), IPL, cryodestruction, combination therapy

Abstract

The aim – to evaluate the effectiveness of the use of combination sequential therapy of actinic keratosis (AK), comparing it with the results of therapeutic effectiveness of monotherapy (liquid nitrogen cryodestruction).

Material and Methods. A three-stage combination therapy algorithm was developed to sequentially remove areas of atypical keratinocyte proliferates, to reduce vascularization in existing AK lesions, and in potentially possible new ones on adjacent skin areas, as well as to improve skin condition.

There were 90 patients with AK under observation. All patients were randomized into two groups. Patients of group 1 (58 persons) received the combination therapy according to the developed technique, patients of group 2 (32 persons) received only liquid nitrogen cryodestruction (monotherapy).

Results and Conclusions. According to the analysis of complaints and clinical data of patients before and after the treatment, it was proven that combination therapy provides the best clinical and cosmetic effects comparing with monotherapy. High therapeutic efficacy, good tolerability, minimally invasive procedures, accessibility, ease of use make it possible to recommend this technique for the treatment of AK patients in Ukraine.

References

Hlushok, V.S., Sviatenko, T.V., Shponka, I.I., & Poslavska O. V. Sposib diahnostyky aktyvnoi keratozu: pat. 125617 Ukraina: MPK (2018.01), GO1N21 / 00; zaiavl. 22.01.2018; opubl. 05.05.2018, Byul. № 9. [Method for the diagnosis of active keratosis: Pat. 125617 Ukraine: IPC (2018.01), GO1N21 / 00; claimed 22.01.2018; publ. 05/05/2018, Bul. No. 9]. [in Ukrainian].

Hlushok, V.S., & Sviatenko, T.V. (2018). Vlasnyi dosvid kombinovanoi poslidovnoi terapii aktynichnoho keratozu [Personal experience of the combined sequential therapy of actinic keratosis]. Dermatolohiia ta venerolohiia – Dermatology and Venereology, 1 (79), 39-42 [in Ukrainian].

Hlushok, V.S., Sviatenko, T.V., Shponka, I.S., & Poslavska, O.V. (2017). Otsinka stanu proliferatyvnoi aktyvnosti ta ekspresii onkomarkeru p53 v zrazkakh aktynichnoho keratozu [Assessment of proliferative activity and p53 tumor marker expression in actinic keratosis specimens]. Morfolohiia – Morphology, 11, 3, 6-12 [in Ukrainian].

Sviatenko, T.V., & Hlushok, V.S. (2018). Kombinovana terapiia aktynichnoho keratozu z vrakhuvanniam morfofenotypuvannia [Combination therapy of actinic keratosis with consideration of morphophenotyping]. Informatsiinyy lyst. Dermatolohiia ta venerolohiia – Information Sheet. Dermatology and Venereology, 31, 2 [in Ukrainian].

Stockfleth, E., Peris, K., Guillen, C., Cerio, R., Basset-Seguin, N., Foley, P., ..., & Lebwohl, M. (2015). A consensus approach to improving patient adherence and persistence with topical treatment for actinic keratosis. Int. J. Dermatol., 54, 5, 509-515. DOI: https://doi.org/10.1111/ijd.12840

Simon, J.C., Dominicus, R., Karl, L., Rodríguez, R., Willers, C., & Dirschka, T. (2015). A prospective randomized exploratory study comparing the efficacy of once-daily topical 0.5 % 5-fluorouracil in combination with 10.0 % salicylic acid (5-FU/SA) vs. cryosurgery for the treatment of hyperkeratotic actinic keratosis. J. Eur. Acad. Dermatol. Venereol., 29, 5, 881-889. DOI: https://doi.org/10.1111/jdv.12702

Kirby, J.S., Scharnitz, T., Seiverling, E.V., Ahrns, H, & Ferguson, S. (2015). Actinic keratosis clinical practice guidelines: An appraisal of quality Dermatol. Res. Pract. Article ID 456071. DOI: https://doi.org/10.1155/2015/456071

Afsar, F.S., Erkan, C.D., & Karaca, S. (2015). Clinical practice trends in cryosurgery: a retrospective study of cutaneous lesions. Postepy Dermatol. Alergol., 32, 2, 88-93. DOI: https://doi.org/10.5114/pdia.2015.48048

de Berker, D., McGregor, J.M., Mohd Mustapa, M.F., Exton, L.S., & Hughes, B.R. (2017). British Association of Dermatologists’ guidelines for the care of patients with actinic keratosis 2017. Br. J. Dermatol., 176, 1, 20-43. DOI: https://doi.org/10.1111/bjd.15107

Chaplin S. (2016). Topical agents for preventing and treating actinic keratosis. Prescriber, 32-40. DOI: https://doi.org/10.1002/psb.1451

Chetty, P., Choi, F., & Mitchell, T. (2015). Primary care review of actinic keratosis and its therapeutic options: A global perspective. Dermatol. Ther. (Heidelb), 5, 1, 19-35. DOI: https://doi.org/10.1007/s13555-015-0070-9

Piccolo, D., Marcantonio, D.Di, Crisman, G., Cannarozzo, G., Sannino, M., Chiricozzi, A., & Chimenti, S. (2014). Clinical study. Unconventional use of intense pulsed Light. Biomed. Res. Int., 2014, Article ID 618206.

Storer, M., Zhu, Z., Sokil, M., Ford, M., Neugebauer, R., & Asgari, M.M. (2017). Community-based practice variations in topical treatment of actinic keratoses. JAMA Dermatol., 153, 5, 468-470. DOI: https://doi.org/10.1001/jamadermatol.2016.6251

Kohl, E., Koller, M., Zeman, F., Szeimies, R.M., Philipp-Dormston, W.G., Prager, W., ..., & Karrer, S. (2017). Daylight photodynamic therapy versus cryosurgery for the treatment and prophylaxis of actinic keratoses of the face – protocol of a multicenter, prospective, randomized, controlled, two-armed study. BMS Dermatol., 17, 29070025. DOI: https://doi.org/10.1186/s12895-017-0064-7

Dodds, A., Chia, A., & Shumack, S. (2014). Actinic Keratosis: Rationale and Management. Dermatol. Ther. (Heidelb), 4, 1, 11-31. DOI: https://doi.org/10.1007/s13555-014-0049-y

Elizabeth, E. (2013). Uhlenhake optimal treatment of actinic keratoses. Clin. Interv. Aging, 8, 29-35.

Ash, C., Town, G., Whittall, R., Tooze, L., & Phillips, J. (2017). Lasers and intense pulsed light (IPL) association with cancerous lesions. Lasers Med. Sci., 32, 8, 1927-1933. DOI: https://doi.org/10.1007/s10103-017-2310-y

Published

2020-05-06

How to Cite

Svyatenko, T. V., Hlushok, V. S., & Shkrobot, T. S. (2020). EFFECTIVENESS OF COMBINED SEQUENTIAL THERAPY OF ACTINIC KERATOSIS. Achievements of Clinical and Experimental Medicine, (1), 165–172. https://doi.org/10.11603/1811-2471.2020.v.i1.11083

Issue

Section

Оригінальні дослідження