title: Soft tissue calcifications induced by local corticosteroid injection.
abstract: The authors discuss soft tissue calcifications as a possible effect of local corticosteroid therapy. The literature will be reviewed and a case report will be presented, which illustrates soft tissue calcifications in the heel of a patient who received multiple injections of triamcinolone hexacetonide, for heel spur syndrome. The accumulation of insoluable steroid acts as a foreign body and induced a chronic granulomatous inflammatory process, with subsequent dystrophic calcification.
authors.affiliation: Department of Podiatric Surgery Metropolitan Hospital, Philadelphia, Pennsylvania.
authors.forename: R J
authors.initials: RJ
authors.lastname: Conti
authors.forename: M
authors.initials: M
authors.lastname: Shinder
mesh_terms: D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000009:adverse effects*; D002114:Calcinosis / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D005534:Foot Diseases / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000473:pathology; D006365:Heel; D006801:Humans; D007267:Injections; D008875:Middle Aged; D011859:Radiography; D014222:Triamcinolone Acetonide / Q000008:administration & dosage / Q000009:adverse effects / Q000031:analogs & derivatives*
chemical_list: D000893:Anti-Inflammatory Agents; D014222:Triamcinolone Acetonide; C005900:triamcinolone hexacetonide