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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Efudex Cream Effective In The Treatment Of DSAP?

I was prescribed Efudex cream today for DSAP, but after further online investigation have read that it is a waste of time and will only cause redness and irritation. Also read that there isn t a cure for DSAP, that some meds will clear it up for a while but it will keep coming back. Should I even bother starting the Efudex?
Tue, 2 Apr 2019
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General & Family Physician 's  Response
Hi,

Unfortunately, treatment of DSAP is not very satisfactory. Creams such as topical retinoids, 5-fluorouracil and imiquimod offer some slight help. Cryosurgery may be used, but can lead to areas of hypopigmentation. Photodynamic therapy has been used with mixed results. The doctor prescribes topical or systemic drugs to help reduce your symptoms (as in your case). There's also evidence that laser treatments have improved the appearance of porokeratosis.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. AJEET SINGH, General & Family Physician
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Is Efudex Cream Effective In The Treatment Of DSAP?

Hi, Unfortunately, treatment of DSAP is not very satisfactory. Creams such as topical retinoids, 5-fluorouracil and imiquimod offer some slight help. Cryosurgery may be used, but can lead to areas of hypopigmentation. Photodynamic therapy has been used with mixed results. The doctor prescribes topical or systemic drugs to help reduce your symptoms (as in your case). There s also evidence that laser treatments have improved the appearance of porokeratosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. AJEET SINGH, General & Family Physician