Porokeratosis of Mibelli: Successful treatment with topical 5% imiquimod cream
✍ Scribed by Shannon Harrison; Rodney Sinclair
- Publisher
- John Wiley and Sons
- Year
- 2003
- Tongue
- English
- Weight
- 754 KB
- Volume
- 44
- Category
- Article
- ISSN
- 0004-8380
No coin nor oath required. For personal study only.
✦ Synopsis
SUMMARY
A 77‐year‐old woman with a large porokeratosis of Mibelli on the left shin was successfully treated with topical 5% imiquimod cream applied to the entire lesion once daily without occlusion three times a week. A strong inflammatory reaction was achieved in 6 weeks of treatment. The lesion had been present for approximately 6 years and prior treatments included curettage and electrocautery, cryotherapy and topical 5‐fluorouracil under occlusion. At the end of treatment with topical 5% imiquimod cream, punch biopsy was negative for porokeratosis. The lesion healed without scarring. At 24‐month follow up there had been no sign of clinical recurrence.
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