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关节腔内注射曲安奈德后出现的线性脂肪萎缩,酷似线性硬皮病。

Linear lipoatrophy following intra-articular triamcinolone acetonide injection mimicking linear scleroderma.

作者信息

Call John Elliott, Mann Julianne A, Linos Konstantinos D, Perry Ann, Yost John

机构信息

Division of Rheumatology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire.

出版信息

Pediatr Dermatol. 2019 Jan;36(1):e56-e57. doi: 10.1111/pde.13736. Epub 2018 Nov 28.

DOI:10.1111/pde.13736
PMID:30484902
Abstract

A 12-year-old female with oligoarticular juvenile inflammatory arthritis developed an atrophic linear plaque involving the left medial forearm and proximal arm 7 months after intra-articular triamcinolone injection for arthritis. The plaque spontaneously resolved without treatment over approximately one year. It is important to recognize this rare complication of intra-articular steroid injection in order to avoid potential misdiagnosis as linear scleroderma and subsequent immunosuppressive treatment.

摘要

一名患少关节型幼年特发性关节炎的12岁女性,在接受关节内注射曲安奈德治疗关节炎7个月后,左侧前臂内侧和上臂近端出现了一个萎缩性线性斑块。该斑块未经治疗,大约一年后自行消退。认识到关节内注射类固醇的这种罕见并发症很重要,以避免可能误诊为线状硬皮病并随后进行免疫抑制治疗。

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