Flumethasone-salicylic acid cream effectively flattened verrucous epidermal nevus: a case report.
Yu Jiang, Wei Li, Shilin Deng et al.
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Case in brief
A 25-year-old man with a 20-year history of verrucous epidermal nevus on the right buttock and lower limb used topical flumethasone pivalate–salicylic acid cream twice daily for over 2 months. The plaques progressively thinned and became less hyperpigmented, without adverse events. His Dermatology Life Quality Index score improved from 13 to 3, and no recurrence was observed during 14-week follow-up.
What made this case unusual
The report describes improvement in longstanding plaques with a topical combination cream, including reduced thickness and pigmentation, without adverse events or recurrence during follow-up.
Diagnostic / clinical pearl
For verrucous epidermal nevus, this case suggests that topical flumethasone pivalate–salicylic acid may be a practical option when considering treatment; the reported response is from a single patient.