Methods: ECP therapy is protocolized and usually consists of a total of 32 or more treatments over 10 months or longer. The course may be continued depending on response to the ECP. A digital camera with removable memory card was purchased for the apheresis clinic. A baseline photograph is taken of the patient prior to ECP therapy initiation. Photographs of the same sites of skin and same distance from the affected area are taken for accurate assessment of clinical response every 8th treatment for GVHD and once a month for CTCL, or with any new skin changes as needed. The photographs are downloaded to the electronic medical record by the apheresis nurse with an accompanying note describing the color, texture, size, and area of skin involvement as well as patient's description of itching and/ or pain. The physician assesses the progress during each visit and corroborates the changes.
Conclusion: So far fourteen cases have been entered since implementation November 2016. Four had their treatment plans revised to improve the skin involvement of their disease processes. Continuous photographic monitoring of skin changes allows for accurate assessment and monitoring of response to ECP. This documented process enables clinicians to assess the progress of the patient objectively throughout the therapy and allow for adjustments to the ECP plan of care.