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