This is what you would expect to see happening within the first two weeks of applying Aldara.
These sores are not infected. They are like this because the Aldara (imiquimod) stimulates the immune system to recognise abnormal DNA in cells that have the potential to become skin cancers. These immune cells then gobble up the abnormal DNA and die creating what looks like pus. This appearance is normal and expected when using Aldara and I have never used antibiotics for this as it is not an infection.
The erythematous areas ( red ) are a result of increased blood flow that is part of the repair process.
More normal pus filled sores. This is NOT infection.
Sometimes it can get quite irritated and inflamed!! Sore as well.
This is a nose with superficial BCC's that is being treated with Aldara. The BCCs were eradicated using the Aldara.
This lady had extensive sun damage (Actinic Keratoses) on her forehead and this is the healing process that usually starts after approximately three weeks of applying Aldara ie 20 applications. After the scabs came off her skin was like a baby's.
There were two skin cancers on this man's nose. Because of the sun damage to his cheeks he applied Aldara 20 times to the cheeks and thirty times to the nose. Once again the result was excellent with clearance of the BCC's on his nose and clearance of the sun damage on his cheeks. He nearly had a divorce because he felt so miserable with flu-like symptoms. 30% of people feel no effects from using Aldara, 30% feel like they have a midl flu like illness and 30 % feel really miserable miserable. It is very important that a Physician closely monitor the first session of Aldara application so that an appropriate regime can be implemented.
Skin on left cheek two months following the use of aldara