Call John Elliott, Mann Julianne A, Linos Konstantinos D, Perry Ann, Yost John
Division of Rheumatology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire.
Pediatr Dermatol. 2019 Jan;36(1):e56-e57. doi: 10.1111/pde.13736. Epub 2018 Nov 28.
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.
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。