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Laser- und Lichttherapie zur Behandlung der Strahlendermatitis

Laser and light therapy for treatment of radiation dermatitis

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Zusammenfassung

Strahlendermatitis (SD) ist eine entzündliche Hauterkrankung, die als ungewollte Nebenwirkung der medizinischen Strahlentherapie (ST) auftreten kann, am häufigsten bei Patienten, die im Rahmen einer Krebserkrankung der HNO- bzw. Anal- und Vulvaregion behandelt werden. Die Nebenwirkungen an der Haut und Schleimhaut treten innerhalb von wenigen Wochen nach der Einleitung von ST auf, späte Nebenwirkungen können sich Monate bis Jahre nach der ST entwickeln. Therapeutisch kommen verschiedene Behandlungsansätze in Betracht wie Pentoxifillin, hyperbare Sauerstofftherapie, Lasertherapie und Photobiomodulationstherapie (PBMT). Um die verminderte Lebensqualität von Patienten mit ST-induzierter Fibrose zu begrenzen, ist eine unterstützende Pflege aus Schmerztherapie, psychologischer Unterstützung und Wundversorgung notwendig.

Abstract

Radiation dermatitis (RD), an inflammatory skin disease that can be an unwanted side effect of medical radiation therapy (RT), most commonly occurs in patients undergoing cancer of the ENT, anal, and vulvar regions. The side effects on the skin and mucous membranes occur within a few weeks after the initiation of RT; however, late side effects can develop months to years after the RT. Therapeutically, various treatment approaches are considered such as pentoxifylline, hyperbaric oxygen therapy, laser therapy, and PBMT. In order to limit the reduced quality of life of patients with RT-induced fibrosis, supportive care consisting of pain therapy, psychological support, and wound care is necessary.

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Authors and Affiliations

  1. Dermatologische Abteilung, Universitäre Krankenhäuser von Genf, Rue Gabrielle-Perret-Gentil 4, 1205, Genf, Schweiz

    H.-J. Laubach

  2. Faculteit Geneeskunde en Levenswetenschappen Hasselt, Universiteit Hasselt, Limburg, Belgien

    J. Robijns Ph.D.

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  1. H.-J. Laubach
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  2. J. Robijns Ph.D.
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Correspondence to H.-J. Laubach.

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H.-J. Laubach und J. Robijns geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Laubach, HJ., Robijns, J. Laser- und Lichttherapie zur Behandlung der Strahlendermatitis. Hautarzt 69, 5–9 (2018). https://doi.org/10.1007/s00105-017-4091-4

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