Pigmentation change, muscle wasting, and tendon rupture after corticosteroid injection in the Congo

Unlike complications of systemic corticosteroid therapy that have been extensively described, complications of locoregional corticosteroid injection are not well documented. The purpose of this report is to describe a case involving iatrogenic injury due to local corticosteroid therapy in a 17-year-...

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Bibliographic Details
Published inMédecine tropicale Vol. 70; no. 1; p. 94
Main Authors Bileckot, R R, Mavoungou Biatsi, K, Loumingou, Lenga I
Format Magazine Article
LanguageFrench
Published France 01.02.2010
Subjects
Adolescent
Congo
Female
Glucocorticoids - administration & dosage
Glucocorticoids - adverse effects
Humans
Hypopigmentation - chemically induced
Iatrogenic Disease
Injections, Intra-Articular
Muscular Atrophy - chemically induced
Rupture - chemically induced
Tendon Injuries - chemically induced
Triamcinolone Acetonide - administration & dosage
Triamcinolone Acetonide - adverse effects
Congo
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Summary:Unlike complications of systemic corticosteroid therapy that have been extensively described, complications of locoregional corticosteroid injection are not well documented. The purpose of this report is to describe a case involving iatrogenic injury due to local corticosteroid therapy in a 17-year-old woman. Following injection of triamicinolone into the wrist, the patient developed pigmentation change, muscle wasting, and tendon rupture. Injection was performed by a nurse, thus indicating the need for training before delegating this procedure in areas with limited resources.
ISSN:0025-682X