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Intralesional steroid injections for inflammatory nail dystrophies in the pediatric population |
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| Authors: | Matilde Iorizzo MD PhD Nilton Gioia Di Chiacchio MD PhD Nilton Di Chiacchio MD PhD Chander Grover MD Shari R. Lipner MD PhD Bertrand Richert MD PhD Bianca Maria Piraccini MD PhD Michela Starace MD PhD Antonella Tosti MD |
| Affiliation: | 1. Private Dermatology Practice, Bellinzona/Lugano, Switzerland;2. Dermatologic Clinic, Hospital do Servidor Público Municipal de São Paulo, São Paulo, Brazil Department of Dermatology, Faculdade de Medicina do ABC, Santo André, Brazil;3. Dermatologic Clinic, Hospital do Servidor Público Municipal de São Paulo, São Paulo, Brazil;4. Department of Dermatology and STD, University College of Medical Sciences and GTB Hospital, Delhi, India;5. Department of Dermatology, Weill Cornell Medicine, New York City, New York, USA;6. Department of Dermatology, St.Pierre - Brugmann - Queen Fabiola Children University Hospitals, Université Libre de Bruxelles, Bruxelles, Belgium;7. Dermatology Unit IRCCS PoliclinicoSant'Orsola, Department of Experimental, Diagnostic and Specialty Medicine (DIMES) Alma Mater Studiorum, University of Bologna, Bologna, Italy;8. Department of Dermatology, Miller School of Medicine, Miami, Florida, USA |
| Abstract: | Intralesional injections of triamcinolone acetonide are widely used to successfully treat several inflammatory nail conditions. This procedure is well described in adults, but less frequently reported in children and teenagers, being largely considered too invasive and fear-provoking for pediatric patients. Our report shows how this procedure is feasible and successful in children, even without a digital block. The step-by-step technique and tips to reduce pain should encourage clinicians to offer it as an alternative option to children with inflammatory nail disorders. |
| Keywords: | adolescent children intralesional injections intralesional steroid injections nail disorders nail lichen planus nail psoriasis triamcinolone acetonide |