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    Date Issued2019 (1)Author
    Hartman, Rebecca I. (1)
    Lin, Jennifer Y. (1)Tkachenko, Elizabeth (1)UMass Chan AffiliationSchool of Medicine (1)Document TypeJournal Article (1)Keywordcomputed tomography (1)CT (1)depigmentation (1)Dermatology (1)Hemic and Immune Systems (1)View MoreJournalJAAD case reports (1)

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    Regional vitiligo induced by imiquimod treatment for in-transit melanoma metastases

    Tkachenko, Elizabeth; Lin, Jennifer Y.; Hartman, Rebecca I. (2019-04-29)
    Imiquimod is a topical immunomodulator used for the treatment of viral warts and superficial basal cell carcinoma and as an emerging therapy for lentigo maligna and cutaneous melanoma metastases. Vitiligo-like depigmentation has been described as a local adverse effect of topical imiquimod therapy for melanoma1 and at distant sites in patients treated with combination topical monobenzone-imiquimod for metastatic melanoma.2 We present a case in which topical imiquimod resulted in both the resolution of in-transit metastatic melanoma and the depigmentation of local and regional skin, suggesting a regional lymphatic effect of this localized topical treatment.
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