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Wiley InterScience

British Journal of Dermatology

British Journal of Dermatology

Volume 116 Issue 4, Pages 549 - 552

Published Online: 29 Jul 2006

Journal compilation © 2010 British Association of Dermatologists



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Topical chemotherapy of actinic keratoses of the upper extremity with tretinoin and 5-fluorouracil: a double-blind controlled study
L. BERCOVITCH 1
  1 Skin Tumor Clinic, Southwood Community Hospital, Division of Neponset Valley Health Systems, Norfolk, Massachusetts and Division of Dermatology, Section of Medicine, Brown University Program in Medicine, Providence, Rhode Island, U.S.A.
 Correspondence: Dr. L.Bercovitch, 966 Park Street, Stoughton, Massachusetts 02072, U.S.A.
Copyright 1987 British Association of Dermatologists

ABSTRACT

AbstractReferences

In a randomized double-blind controlled study, 19 patients applied 5% 5-fluorouracil (5-FU) cream to actinic keratoses (AK) on each arm twice daily, followed by nightly application of 0.05% tretinoin cream to one arm, and a control cream to the other arm until discomfort precluded further applications. After 3 months, the number of residual AK was compared to pre-treatment values. The tretinoin-treated arms had 15.7 ± 6.1 AK before treatment and 3.4±2.6 AK following therapy. The control arms had 15.3±6.9 AK before therapy and 4.2 ± 2.5 lesions afterwards. Using a one-tailed paired t-test, the difference in response was statistically significant (0.03 < P < 0.04). It was concluded that daily application of 0.05% tretinoin cream appeared to enhance the efficacy of topical 5-FU in destruction of AK of the arms and may represent a useful treatment modality.


Accepted for publication 20 October 1986

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1365-2133.1987.tb05876.x About DOI

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