Triamcinolone

Excerpt

Two months after a 24-year-old woman received a triamcinolone injection [dose not stated; route not clearly stated] for tenosynovitis, she presented with a 3-week history of hypopigmented lesions that ascended her leg from the dorsum of her foot. Upon physical examination, well-defined hypopigmented linear lesions were found in a tree-distribution that followed the trajectory of her veins. A histopathologic analysis revealed normal skin, and a normal number of melanocytes was found upon S-100 staining. After 7 months of evolution, her hypopigmentation resolved.Author Comment“In this case, linear distribution and proximal progression suggest a steroid spread upward the subcutaneous veins. The close relationship of hypopigmentation with the path of the veins is an indirect sign, but highly suggestive, which supports the previous hypothesis.“ …