Private Dermatology Practice, Bellinzona/Lugano, Switzerland.
Dermatologic Clinic, Hospital do Servidor Público Municipal de São Paulo, São Paulo, Brazil.
Pediatr Dermatol. 2023 Jul-Aug;40(4):759-761. doi: 10.1111/pde.15295. Epub 2023 Mar 20.
Intralesional injections of triamcinolone acetonide are widely used to successfully treat several inflammatory nail conditions. This procedure is well described in adults, but less frequently reported in children and teenagers, being largely considered too invasive and fear-provoking for pediatric patients. Our report shows how this procedure is feasible and successful in children, even without a digital block. The step-by-step technique and tips to reduce pain should encourage clinicians to offer it as an alternative option to children with inflammatory nail disorders.
曲安奈德皮损内注射被广泛用于成功治疗多种炎症性甲病。这一操作在成人中已有详细描述,但在儿童和青少年中报道较少,主要是因为该操作对儿科患者来说过于侵入性和令人恐惧。我们的报告显示,即使不进行指(趾)神经阻滞,该操作在儿童中也是可行且有效的。该操作的分步技术和减轻疼痛的技巧应鼓励临床医生将其作为炎症性甲病患儿的一种替代选择。