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Ingenol mebutate in low amounts for the treatment of actinic keratosis in Korean patients

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Author(s)
Hyun Jae JoeByung Ho Oh
Keimyung Author(s)
Oh, Byung Ho
Department
Dept. of Dermatology (피부과학)
Journal Title
Clinical, Cosmetic and Investigational Dermatology
Issued Date
2017
Volume
10
Keyword
actinic keratosisfield therapyingenol mebutate
Abstract
Background : Ingenol mebutate (IM), a novel agent for field therapy of actinic keratosis (AK), has a drawback of inducing local skin reactions (LSRs), which may cause discomfort in patients. To reduce the LSRs, we tried the application of IM in low amounts.
Objective : The purpose of this study was to review Korean patients with AK being treated with IM and evaluate the LSRs and therapeutic outcomes of low amounts of IM.
Methods : We retrospectively reviewed 47 patients with AK on the face. A total of 20 and 27 patients were treated by applying recommended amount of 18.8 mg/cm2 and the lower amount of 10 mg/cm2, respectively.
Results : The mean composite LSR score for the low amount group (LAG; 12.18±3.29) was significantly lower than that for the recommended amount group (RAG; 15.45±2.70) (P<0.01, independent sample t-test). The 2-month clearance rate calculated by the number of AKs before and after treatment in each patient was significantly higher for RAG (88.16%), compared with 75.56% for LAG (P<0.001).
Conclusion : Low amount of IM for the treatment of facial AK significantly reduced LSRs in Korean patients. Minimizing LSRs may allow for a secondary targeting treatment of IM for the residual lesions, depending on initial treatment outcomes.
Keimyung Author(s)(Kor)
오병호
Publisher
School of Medicine
Citation
Hyun Jae Joe and Byung Ho Oh. (2017). Ingenol mebutate in low amounts for the treatment of actinic keratosis in Korean patients. Clinical, Cosmetic and Investigational Dermatology, 10, 93–98. doi: 10.2147/CCID.S129072
Type
Article
ISSN
1178-7015
DOI
10.2147/CCID.S129072
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32391
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Dermatology (피부과학)
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