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Flumethasone-salicylic acid cream effectively flattened verrucous epidermal nevus: a case report
Yu Jiang1,2, Wei Li1,2, Shilin Deng1,2
1Institute of Dermatology, Guangzhou Medical University, Guangzhou, P.R. China.
Objectives:
To assess the efficacy and safety of topical compound flumethasone pivalate-salicylic acid cream for verrucous epidermal nevus (VEN), a benign keratinocytic hamartoma with limited current treatment options.
Methods:
A 25-year-old male with 20-year VEN (right buttock/lower limb plaques) was treated with the compound cream (0.2 mg flumethasone pivalate + 30 mg salicylic acid/gram) twice daily for over 2 months, followed by 14-week follow-up.
Results:
Lesions showed progressive thinning, significantly reduced hyperpigmentation, and no adverse events. The Dermatology Life Quality Index score improved from 13 to 3, with no recurrence at follow-up.
Conclusions:
Topical compound flumethasone pivalate-salicylic acid cream is effective and safe for VEN, potentially via inhibiting abnormal keratinocyte proliferation, serving as a practical topical option.
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