A Permanent Hair Loss in a Patient with Hypersensitivity to Intralesional Triamcinolone Injection

Despite multiple possible side effects, mesotherapy with a diverse mixture of unapproved products has been performed for the treatment of hair loss. In this case report, we present a rare case of permanent hair loss due to an allergic reaction from a mesotherapy mixture including triamcinolone aceto...

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Bibliographic Details
Published inAnnals of dermatology Vol. 31; no. 2; pp. 217 - 220
Main Authors Lee, Young In, Lee, Minseok, Lee, Sewon, Kim, Do Young
Format Journal Article
LanguageEnglish
Published Korea (South) The Korean Dermatological Association; The Korean Society for Investigative Dermatology 01.04.2019
대한피부과학회
Subjects
Case Report
피부과학
Delayed hypersensitivity
Alopecia
Intralesional injections
Mesotherapy
Triamcinolone acetonide
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Summary:Despite multiple possible side effects, mesotherapy with a diverse mixture of unapproved products has been performed for the treatment of hair loss. In this case report, we present a rare case of permanent hair loss due to an allergic reaction from a mesotherapy mixture including triamcinolone acetonide. The patient showed a positive intradermal allergic skin test result for triamcinolone and therefore was diagnosed with scarring alopecia due to delayed type IV hypersensitivity to corticosteroid. This case study suggests that dermatologists should always be fully aware that both IgE-mediated and non-IgE-mediated hypersensitivity reactions from the corticosteroids as well as their mesotherapy excipients are possible in an effort to prevent irreversible adverse event from the mesotherapy.
ISSN:1013-9087
2005-3894
DOI:10.5021/ad.2019.31.2.217