Two Cases of Lipoatrophy after Local Corticosteroid Injection

Inha Kim; Hye Lim Lee; Sang-Soo Lee

doi:10.14253/KJCN.2015.17.2.91

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Kim, Lee, and Lee: Two Cases of Lipoatrophy after Local Corticosteroid Injection

Original Article

Korean J Community Nutr 2015;17(2):91-94.

Published online: 18 December 2015

DOI: https://doi.org/10.14253/KJCN.2015.17.2.91

Two Cases of Lipoatrophy after Local Corticosteroid Injection

Inha Kim, Hye Lim Lee, Sang-Soo Lee

Department of Neurology, Chungbuk National University College of Medicine, Cheongju, Korea

Address for correspondence; Sang-Soo Lee Department of Neurology, Chungbuk National University College of Medicine, 1 Chungdae-ro Seowon-Gu, Cheongju 28644, Korea Tel: +82-43-269-6336 Fax: +82-43-275-7591 E-mail: pnsdoctor@gmail.com

Received 31 July 2015 Revised 25 November 2015 Accepted 30 November 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The adverse effects of systemic steroid medications are well known, whereas those of local steroid injections are unclear even to clinicians. We report two cases of localized lipoatrophy and depigmentation following local steroid injection. Although the incidence of soft tissue atrophy after local steroid injection is rare, it will increase in proportion to the frequency of the procedure. All clinicians, even those who do not perform steroid injections, should be aware of the occurrence of this cosmetically disturbing adverse effect. (Korean J Clin Neurophysiol 2015;17:91-94)

Keywords: Corticosteroid, Lipoatrophy, Triamcinolone

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Fig. 1.

Appearance of steroid induced atrophy and hypopigmentation (arrow) of the right dorsum of hand after triamcinolone injection (A, B). Spontaneously improved skin lesion a year later (C, D).

Fig. 2.

Appearance of steroid induced atrophy and hypopigmentation of the left medial foot after triamcinolone injection (A, B).

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