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GIORNALE ITALIANO DI DERMATOLOGIA E VENEREOLOGIA

A Journal on Dermatology and Sexually Transmitted Diseases


Official Journal of the Italian Society of Dermatology and Sexually Transmitted Diseases
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Giornale Italiano di Dermatologia e Venereologia 2002 December;137(6):427-30

Copyright © 2002 EDIZIONI MINERVA MEDICA

language: Italian

Successful treatment of face actinic keratosis with Imiquimod cream 5% (Aldara®)

Fanti P. A., Vaccari S., Ghetti E., Misciali C.

Sezione di Clinica Dermatologica Dipartimento di Medicina Clinica Specialistica e Sperimentale Università degli Studi di Bologna, Bologna


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Background. Actinic keratosis (AK) are epidermal dysplasia or squamous cell carcinomas in situ of sun-damaged skin. The risk of progression into invasive squamous cell carcinoma has a range of 0,125% to 16% per year. Imiquimod is a new topical immune response modifier useful in treating UV induced skin lesion.
Methods. Thirty patients affected by recurrent AK of the face have been treated with Imiquimod 5% cream 3 times a week for 4 weeks. The product was left in site for 8 hours and then washed off with soap. A topic irritative skin reaction in the application area was observed. Most patients showed only an erythematous reaction, while erythematovesicular lesions were observed in 8 patients. Two patients had a crusting phenomenon. No patients suspended the treatment.
Results. All the AK neoplasms cleared after therapy with Imiquimod cream 5% for 4 weeks, except for 3 patients who showed persistence of 1 or 2 hyperkeratotic AK.
Conclusions. This study demonstrates that topical Imiquimod is a good strategy for the therapy of actinic keratosis and is probably helpful in preventing the progression to invasive squamous cell carcinoma of sun-damaged skin.

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