Acne phototherapy with a high-intensity, enhanced, narrow-band, blue light source: an open study and in vitro investigation.

The purpose of this study was to investigate the efficacy of phototherapy with a newly-developed high-intensity, enhanced, narrow-band, blue light source in patients with mild to moderate acne. An open study was performed in acne patients who were treated twice a week up to 5 weeks. Acne lesions were reduced by 64%. Two patients experienced dryness. No patient discontinued treatment due to adverse effects. In vitro investigation revealed that irradiation from this light source reduced the number of Propionibacterium acnes (P. acnes), but not Staphylococcus epidermidis that were isolated from the acne patients. Phototherapy using this blue light source was effective and well tolerated in acne patients and had an ability to decrease numbers of P. acnes in vitro, suggesting that this phototherapy may be a new modality for the treatment of acne.

[1]  Kunitomo Watanabe,et al.  The Bacteriology of Acne Vulgaris and Antimicrobial Susceptibility of Propionibacterium acnes and Staphylococcus epidermidis Isolated from Acne Lesions , 2000, The Journal of dermatology.

[2]  W. Lee,et al.  Comparative studies of porphyrin production in Propionibacterium acnes and Propionibacterium granulosum , 1978, Journal of bacteriology.

[3]  W. Cunliffe,et al.  A Placebo-Controlled Clinical Trial to Compare a Gel Containing a Combination of Isotretinoin (0.05%) and Erythromycin (2%) with Gels Containing Isotretinoin (0.05%) or Erythromycin (2%) alone in the Topical Treatment of Acne vulgaris , 1999, Dermatology.

[4]  W. Cunliffe,et al.  Phototherapy and acne vulgaris , 2000, The British journal of dermatology.

[5]  C. Cornelius,et al.  Red fluorescence of comedones: production of porphyrins by Corynebacterium acnes. , 1967, The Journal of investigative dermatology.

[6]  A M Kligman,et al.  Ultraviolet phototherapy and photochemotherapy of acne vulgaris. , 1978, Archives of dermatology.

[7]  P. Papageorgiou,et al.  Phototherapy with blue (415 nm) and red (660 nm) light in the treatment of acne vulgaris , 2000, The British journal of dermatology.

[8]  G. Piérard Meeting of the Belgian Royal Society for Dermatology and Venereology , 2002, Dermatology.

[9]  G. Webster,et al.  Inflammation in acne vulgaris. , 1995, Journal of the American Academy of Dermatology.

[10]  W. Cunliffe,et al.  Acne: Diagnosis and Management , 2001 .

[11]  J C Kennedy,et al.  Phototoxic damage to sebaceous glands and hair follicles of mice after systemic administration of 5-aminolevulinic acid correlates with localized protoporphyrin IX fluorescence. , 1990, The American journal of pathology.

[12]  A. Johnsson,et al.  AN ACTION SPECTRUM FOR BLUE AND NEAR ULTRAVIOLET IN ACTIVATION OF Propionibacterium acnes; WITH EMPHASIS ON A POSSIBLE PORPHYRIN PHOTOSENSITIZATION , 1986, Photochemistry and photobiology.

[13]  A. Kawada,et al.  Levofloxacin Is Effective for Inflammatory Acne and Achieves High Levels in the Lesions: An Open Study , 2002, Dermatology.

[14]  S. Mashiko,et al.  Singlet Oxygen (1Δg) Generation from Coproporphyrin inPropionibacterium acneson Irradiation , 1996 .

[15]  L. Prutkin An ultrastructure study of the experimental keratoacanthoma. , 1967, The Journal of investigative dermatology.

[16]  J Moan,et al.  5‐Aminolevulinic acid‐based photodynamic therapy , 1997, Cancer.

[17]  R. Anderson,et al.  Topical ALA-photodynamic therapy for the treatment of acne vulgaris. , 2000, The Journal of investigative dermatology.

[18]  J. Leyden,et al.  Facial follicular porphyrin fluorescence: correlation with age and density of Propionibacterium acnes , 1980, The British journal of dermatology.

[19]  T. Melø,et al.  In vivo porphyrin fluorescence for Propionibacterium acnes. A characterization of the fluorescing pigments. , 1982, Dermatologica.

[20]  A. Knulst,et al.  Phototherapy of acne vulgaris with visible light. , 1997, Dermatology.