Linear rays of hypopigmentation following intra-articular corticosteroid injection for post-traumatic degenerative joint disease.
Intra-articular and intralesional glucocorticoid injections are commonly used by dermatologists, orthopedic surgeons, and rheumatologists because they offer many advantages over oral or parenteral dosage forms. Triamcinalone acetonide is a frequently utilized glucocorticosteroid for intra-articular injections, yet there are a limited number of case reports describing cutaneous hypopigmentation as an adverse effect. Here we present a unique case of hypopigmentation with a linear ray distribution demonstrating lymphatic collection and spread of the triamcinalone acetonide.
Department of Dermatology, University of Illinois College of Medicine at Chicago, Chicago, Illinois, USA.
Carmen
C
Schwartz
Srimanasi
S
Javvaji
James S
JS
Feinberg
D005383:Finger Injuries / Q000150:complications; D005384:Finger Joint; D005938:Glucocorticoids / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D017496:Hypopigmentation / Q000139:chemically induced*; D007270:Injections, Intra-Articular / Q000009:adverse effects*; D007592:Joint Diseases / Q000188:drug therapy* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000188:drug therapy* / Q000209:etiology; D013933:Thumb / Q000293:injuries*; D014222:Triamcinolone Acetonide / Q000008:administration & dosage / Q000009:adverse effects*; D014953:Wrist
D005938:Glucocorticoids; D014222:Triamcinolone Acetonide