• J. Am. Acad. Dermatol. · May 2004

    Case Reports

    Amelanotic lentigo maligna managed with topical imiquimod as immunotherapy.

    • Ann-Marie Powell and Robin Russell-Jones.
    • Skin Tumor Unit, St John's Institute of Dermatology, St Thomas' Hospital, London, United Kingdom.
    • J. Am. Acad. Dermatol. 2004 May 1; 50 (5): 792-6.

    AbstractClinically amelanotic lentigo maligna often resembles an inflammatory lesion rather than a melanoma in situ. We present two cases of extensive amelanotic lentigo maligna presenting as gradually enlarging erythematous patches on the faces of women following incomplete excisions of lentigo maligna. Because of their site and size, therapeutic options were limited; the lesions have, however, resolved (clinically and histologically) following the topical application of 5% imiquimod cream. We discuss the rationale for the use of imiquimod in the treatment of lentigo maligna.

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