{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T04:46:27Z","timestamp":1782276387121,"version":"3.54.5"},"reference-count":28,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"ISDIN Laboratories"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Photobiomodulation, Photomedicine, and Laser Surgery"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction and Objectives:<\/jats:title>\n                    <jats:p>Strict photoprotection is essential for the management of photodermatoses. However, we have not found studies on photoprotection (topical and\/or oral) prescribed in clinical practice. Our objective was to describe the characteristics of topical and oral photoprotection recommended for photodermatoses, including the prescription of a topical broad-spectrum sunscreen containing ectoin (BSSE).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>An anonymous survey carried out (as a pretest) among dermatologists at an online photoprotection event held on May 20, 2023, in Spain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The survey was answered by 90 dermatologists (45.4% [90\/198] of the attendees). Of these, 67.8% (61\/90) were women, and 83.3% (75\/90) worked in public hospitals; 98.9% (89\/90) reported always or almost always prescribing sunscreens in cases of photodermatoses. The most important characteristics of sunscreens were: protection against ultraviolet A (UVA) (95.6%) (86\/90), against visible light (76.7%) (69\/90), and the cosmetic acceptability of the product (67.8%) (61\/90); 90% (81\/90) reported regularly prescribing a BSSE for photodermatosis, and 60.7% (54\/90) claimed that this product was effective or highly effective in reducing symptoms. Oral photoprotection was recommended by 95.5% (85\/89) of respondents, and 97.7% (86\/88; 2 nonresponders) reported observing a decrease in symptomatology when oral photoprotection was prescribed together with sunscreens.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Limitations:<\/jats:title>\n                    <jats:p>Online survey, potential inclusion bias.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      The majority of dermatologists surveyed prescribed sunscreens with high protection against UVA and visible light for photodermatoses, recommended oral photoprotection with\n                      <jats:italic toggle=\"yes\">Polypodium leucotomos<\/jats:italic>\n                      and reported observing a decrease in symptomatology after recommending topical plus oral photoprotection.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/25785478261426182","type":"journal-article","created":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T05:54:38Z","timestamp":1772430878000},"page":"252-257","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Topical and Oral Photoprotection for the Treatment of Photodermatoses. A Survey of 90 Dermatologists"],"prefix":"10.1177","volume":"44","author":[{"given":"Daniel","family":"Morgado-Carrasco","sequence":"first","affiliation":[{"name":"Dermatology Department, Hospital Cl\u00ednic de Barcelona, Universitat de Barcelona, Spain."},{"name":"Dermatology Department, Hospital de Figueres, Fundaci\u00f3 Salut Empord\u00e0, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jes\u00fas","family":"Delgado","sequence":"additional","affiliation":[{"name":"Innovation and Development, ISDIN, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1751-8959","authenticated-orcid":false,"given":"Pablo","family":"Balado-Sim\u00f3","sequence":"additional","affiliation":[{"name":"Dermatology Department, Hospital Cl\u00ednic de Barcelona, Universitat de Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime","family":"Piquero-Casals","sequence":"additional","affiliation":[{"name":"Dermacentric Health and Aesthetics, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,1]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2005.09.004"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13555-022-00755-5"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.17242"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0781.2012.00678.x"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0781.2004.00103.x"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.135.11.1421"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0781.2008.00365.x"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/jam.13903"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphotobiol.2008.01.008"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13555-019-00345-y"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2010.09.773"},{"key":"e_1_3_2_13_2","first-page":"85","article-title":"Oral polypodium leucotomos extract photoprotective activity in 57 patients with idiopathic photodermatoses","volume":"146","author":"Caccialanza M","year":"2011","unstructured":"Caccialanza M, , Recalcati S, , Piccinno R. Oral polypodium leucotomos extract photoprotective activity in 57 patients with idiopathic photodermatoses. G Ital Dermatol E Venereol Organo Uff Soc Ital Dermatol E Sifilogr, 2011; 146:85\u201387.","journal-title":"G Ital Dermatol E Venereol Organo Uff Soc Ital Dermatol E Sifilogr"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/pde.14876"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1039\/c2pp25177a"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/dth.15167"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2021.694281"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000001155"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2014.03.012"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2014.03.007"},{"key":"e_1_3_2_21_2","article-title":"Solar urticaria: Epidemiology and clinical phenotypes in a Spanish series of 224 patients","author":"P\u00e9rez-Ferriols A","year":"2016","unstructured":"P\u00e9rez-Ferriols A, , Barnadas M, , Gardeaz\u00e1bal J, et al. Solar urticaria: Epidemiology and clinical phenotypes in a Spanish series of 224 patients. Actas Dermosifiliogr, 2016.","journal-title":"Actas Dermosifiliogr"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00403-022-02483-4"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijwd.2020.10.008"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2016.2344"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2013.4294"},{"key":"e_1_3_2_26_2","first-page":"14","article-title":"Double-blind, Placebo-controlled trial to evaluate the effectiveness of polypodium leucotomos extract in the treatment of Melasma in Asian Skin: A Pilot Study","volume":"11","author":"Goh C-L","year":"2018","unstructured":"Goh C-L, , Chuah SY, , Tien S, , Thng G, , Vitale MA, , Delgado-Rubin A. Double-blind, Placebo-controlled trial to evaluate the effectiveness of polypodium leucotomos extract in the treatment of Melasma in Asian Skin: A Pilot Study. J Clin Aesthetic Dermatol, 2018; 11:14\u201319.","journal-title":"J Clin Aesthetic Dermatol"},{"key":"e_1_3_2_27_2","first-page":"13","article-title":"Polypodium leucotomos as an adjunct treatment of pigmentary disorders","volume":"7","author":"Nestor M","year":"2014","unstructured":"Nestor M, , Bucay V, , Callender V, , Cohen JL, , Sadick N, , Waldorf H. Polypodium leucotomos as an adjunct treatment of pigmentary disorders. 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