Successful treatment of actinic keratosis with imiquimod cream 5%: a report of six cases

Br J Dermatol. 2001 May;144(5):1050-3. doi: 10.1046/j.1365-2133.2001.04197.x.

Abstract

Background: Actinic keratoses (AK) are premalignant lesions, which are routinely treated by destructive procedures such as cryotherapy, electrodessication or topical 5-fluorouracil.

Objectives: The aim of this study is to report six cases of AK treated with a potential new topical therapy, imiquimod.

Methods: Subjects included in this study had suffered with recurrent AK for between 5 and 16 years. All six men were treated with imiquimod 5% cream three times a week for 6-8 weeks. In the event of a local skin reaction treatment was modified to two times per week.

Results: All the AK lesions were successfully cleared after treatment with imiquimod cream 5% for 6-8 weeks. Histologically, no apparent signs of persisting AK could be detected, and no recurrences were reported during follow up.

Conclusions: This study suggests that imiquimod may be useful as a new therapy for the treatment of actinic keratoses.

MeSH terms

  • Administration, Cutaneous
  • Aged
  • Aminoquinolines / therapeutic use*
  • Antineoplastic Agents / therapeutic use*
  • Drug Administration Schedule
  • Follow-Up Studies
  • Humans
  • Imiquimod
  • Keratosis / drug therapy*
  • Keratosis / pathology
  • Male
  • Middle Aged
  • Neoplasms, Radiation-Induced / drug therapy
  • Neoplasms, Radiation-Induced / pathology
  • Precancerous Conditions / drug therapy*
  • Precancerous Conditions / pathology
  • Recurrence
  • Scalp Dermatoses / drug therapy
  • Scalp Dermatoses / pathology
  • Skin Neoplasms / drug therapy*
  • Skin Neoplasms / pathology

Substances

  • Aminoquinolines
  • Antineoplastic Agents
  • Imiquimod