Intralesional steroid induced hypopigmentation- a case report
Keywords:Ganglion, Triamcinolone, Hypopigmentation
Ganglions are tense, smooth, fluctuant, cystic transilluminant swellings commonly found on the dorsum of the wrist, at the scapholunate articulation. Treatment modalities include aspiration, intralesional corticosteroids, surgical excision, etc. Hypopigmentation is one of the adverse effects associated with intralesional steroid therapy. Here, we report a 21 years old male patient who came with an asymptomatic whitish patch on the left wrist after receiving triaminolone 40 mg injection at the same site for a ganglion.Case is being reported so as to create awareness of this benign condition amongst the treating physicians or surgeons.
Mishra N, Shashikala P. Dystrophic calcification in a keloid following intra lesional triamcinolone acetonide injection. J Pub Health Med Res. 2014;2(1):46-7.
Narayan R. Dorsal wrist ganglion: sclerotherapy by intralesional triamcinolone. IJMRME. 2015;1(1):266-70.
Dhawan AK, Bisherwal K, Grover C, Tanveer N. Linear Leucoderma Following Intralesional Steroid: A Report of Three Cases. J Cutan Aesthet Surg. 2015;8(2):117–9.
Kaur S, Thami GP. Intralesional corticosteroid induced perilesional and perilymphatic hypopigmentation. Indian J Dermatol Venereol Leprol. 2002;68(6):356-7.
Brinks A, Koes BW, Volkers ACW, Verhaar JAN, Bierma-Zeinstra SMA. Adverse effects of extra-articular corticosteroid injections: a systematic review. BMC Musculoskeletal Disorders. 2010;11:206.
Jang WS, Park J, Yoo KH, Han TY, Li K, Seo SJ, et al. Branch-shaped cutaneous hypopigmentation and atrophy after intralesional triamcinolone injection. Ann Dermatol. 2011;23(1):111-4.
Coondoo A, Phiske M, Verma S, Lahiri K. Side-effects of topical steroids: A long overdue revisit. Indian Dermatol Online J. 2014;5:416-25.