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皮损内注射皮质类固醇激素治疗后病灶周围线状萎缩和色素减退。两例报告并文献复习。

Perilesional linear atrophy and hypopigmentation after intralesional corticosteroid therapy. Report of two cases and review of the literature.

作者信息

Friedman S J, Butler D F, Pittelkow M R

机构信息

Department of Internal Medicine, William Beaumont Army Medical Center, El Paso, TX.

出版信息

J Am Acad Dermatol. 1988 Sep;19(3):537-41. doi: 10.1016/s0190-9622(88)70209-1.

DOI:10.1016/s0190-9622(88)70209-1
PMID:3049699
Abstract

We report on the cases of two patients in whom linear perilesional hypopigmentation and atrophy developed after intralesional injection of corticosteroids for treatment of keloids. Evaluation of our patients and the previously reported cases showed that perilesional linear atrophy or hypopigmentation (or both) is a distinct complication after intralesional or intraarticular administration of corticosteroids and is probably due to lymphogenous spread of the steroid suspension.

摘要

我们报告了两例患者的病例,这两名患者在病灶内注射皮质类固醇治疗瘢痕疙瘩后出现了病灶周围线性色素减退和萎缩。对我们的患者以及先前报道病例的评估表明,病灶周围线性萎缩或色素减退(或两者皆有)是病灶内或关节内注射皮质类固醇后的一种独特并发症,可能是由于类固醇混悬液的淋巴源性扩散所致。

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