Successful treatment of a high-grade intraepithelial neoplasia with imiquimod, with vulvar pemphigus as a side effect

被引:32
作者
Campagne, G [1 ]
Roca, M [1 ]
Martínez, A [1 ]
机构
[1] Dept Obstet & Gynaecol, Clin Bella Med, Altea 03590, Spain
关键词
vulva; intraepithelial neoplasia; drug-induced pemphigus; imiquimod;
D O I
10.1016/S0301-2115(02)00482-7
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Imiquimod modulates the immune response, and is a new approach for treatment of papillomavirus-associated lesions, although it has not been approved for the treatment of intraepithelial neoplasia. We present a case of a patient treated with imiquimod on account of high-grade intraepithelial neoplasia in the vulva and other locations. The posterior biopsies confirm the absence of lesions but show drug-induced pemphigus as a side effect. (C) 2002 Published by Elsevier Science Ireland Ltd.
引用
收藏
页码:224 / 227
页数:4
相关论文
共 8 条
[1]  
Davis G, 2000, J REPROD MED, V45, P619
[2]  
Diaz-Arrastia C, 2001, CLIN CANCER RES, V7, P3031
[3]  
Dumas V, 1999, BRIT J DERMATOL, V140, P1127
[4]   Long-term interferon-alpha therapy induces autoantibodies against epidermis [J].
Fleischmann, M ;
Celerier, P ;
Bernard, P ;
Litoux, P ;
Dreno, B .
DERMATOLOGY, 1996, 192 (01) :50-55
[5]   Imiquimod applied topically: a novel immune response modifier and new class of drug [J].
Miller, RL ;
Gerster, JF ;
Owens, ML ;
Slade, HB ;
Tomai, MA .
INTERNATIONAL JOURNAL OF IMMUNOPHARMACOLOGY, 1999, 21 (01) :1-14
[6]   Determinants of genital human papillomavirus detection in a US population [J].
Peyton, CL ;
Gravitt, PE ;
Hunt, WC ;
Hundley, RS ;
Zhao, MF ;
Apple, RJ ;
Wheeler, CM .
JOURNAL OF INFECTIOUS DISEASES, 2001, 183 (11) :1554-1564
[7]  
Slade H B, 1998, Expert Opin Investig Drugs, V7, P437
[8]   Imiquimod, a topical immune response modifier, induces migration of Langerhans cells [J].
Suzuki, H ;
Wang, BH ;
Shivji, GM ;
Toto, P ;
Amerio, P ;
Tomai, MA ;
Miller, RL ;
Sauder, DN .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 2000, 114 (01) :135-141