Skip to main content

Hypopigmented scar formation after application of over-the-counter wart and mole removal cream

Hypopigmentierte Narben als Folge einer Selbstbehandlung mit einer freiverkäuflichen Creme zur Entfernung von Warzen und Muttermalen

Zusammenfassung

Die Entfernung melanozytärer Nävi (pigmentierte Muttermale) mittels destruktiver Verfahren, wie z.B. Laser oder Elektrokaustik, gilt heute als obsolet, da bei diesen Operationstechniken eine histologische Evaluation und insbesondere der Ausschluss einer malignen Transformation unmöglich ist. Nichtsdestotrotz bietet sich dem gutgläubigen Verbraucher ein großes Angebot an sogenannten "narbenfreien", "Do-it-yourself" Produkten zur selbständigen Entfernung von Muttermalen und anderen Hautläsionen. Wir berichten über zwei Patientinnen die sich nach der Anwendung einer solchen Creme zur Entfernung von Muttermalen, welche sie im Internet bestellt hatten, mit unerwarteten Nebenwirkungen in unserer Praxis vorstellten. Schließlich geben wir einen Überblick über das breite Spektrum der potentiellen Nebenwirkungen entsprechender "Do-it-yourself" Produkte.

Summary

Today, there is a consensus that melanocytic nevi must not be removed by means of destructive modalities such as laser or electrodessication, since these procedures preclude histopathologic evaluation and may mask malignant transformation. Hence, a surgical excision with subsequent histopathologic evaluation remains the gold standard. Yet, patients that desire a removal of their melanocytic nevi for primary cosmetic reasons fear the formation of scars after surgical excision on the one hand and the private costs for excision and histopathologic evaluation on the other hand (as expenses for cosmetic surgery are no longer covered by health insurances). Accordingly, there is a vast market for "scar-free", "do-it-yourself" mole removers for unaware consumers. Here, we present two cases of patients that developed multiple hypopigmented scars after the application of a wart-and-mole removing cream that they had ordered from the internet.

This is a preview of subscription content, access via your institution.

References

  • Dummer R, Hauschild A, Pentheroudakis G. Cutaneous malignant melanoma: ESMO clinical recommendations for diagnosis, treatment and follow-up. Ann Oncol 2009;20(Suppl 4):129–31

    PubMed  Google Scholar 

  • Kittler H, Binder M, Wolff K, Pehamberger H. A ten-year analysis of demographic trends for cutaneous melanoma: analysis of 2501 cases treated at the University Department of Dermatology in Vienna (1990–1999). Wien Klin Wochenschr 2001;113:321–7

    CAS  PubMed  Google Scholar 

  • Miller AJ, Mihm MC Jr. Melanoma. N Engl J Med 2006;355:51–65

    CAS  Article  PubMed  Google Scholar 

  • McAllister JC, Petzold CR, Lio PA. Adverse effects of a mole removal cream. Pediatr Dermatol 2009;26:628–9

    Article  PubMed  Google Scholar 

  • Adhami VM, Ahmad N, Mukhtar H. Molecular targets for green tea in prostate cancer prevention. J Nutr 2003;133:2417S–24S

    CAS  PubMed  Google Scholar 

  • Clayton R, Turner R. Cosmetic surgery: who needs surgeons when you've got creams? Br J Dermatol 2007;156:1383–4

    CAS  Article  PubMed  Google Scholar 

  • Matuschek C, Hoff NP, Peiper M, Budach W, Gerber PA, Bölke E. Basal cell carcinoma. Wien Klin Wochenschr 122:219

  • Cienki JJ, Zaret L. An internet misadventure: bloodroot salve toxicity. J Altern Complement Med 16:1125–7

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Edwin Bölke.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Hilton, S., Reinerth, G., Heise, H. et al. Hypopigmented scar formation after application of over-the-counter wart and mole removal cream. Wien Klin Wochenschr 123, 183–185 (2011). https://doi.org/10.1007/s00508-011-1544-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00508-011-1544-0

Keywords

  • Wart&Mole vanish
  • Herbal
  • Skin tag
  • Sanguinarine
  • Melanocytic nevi