Samir Shrestha*, Ranju Pokharel, Raksha Pathak, Prajwal Pandey
Intralesional Corticosteroids (ICS) administration is a procedure by
which the corticosteroid is directly injected into the skin by a syringe in
order to treat local skin diseases with a maximum benefit and minimal
systemic effect. It has been a good therapeutic option for dermatologists.
Triamcinolone acetonide is the most common steroid administered
intralesional. ICS treatment is usually safe. It may be associated with local
side effects like dyspigmentation, telangiectasia, and epidermal or dermal
atrophy. It is rarely associated with ulceration. Here we present an unusual
case of a young female with scalp ulceration after an intralesional injection
of triamcinolone acetonide. We also tried to highlight the risk factors and
mechanism of skin ulceration following intralesional corticosteroid.
