Steroid-induced perilymphatic hypo pigmentation in orthopaedics practice

Abstract

Local steroid administration in form of injection or topical preparation is commonly used in various dermatological, orthopaedics and ophthalmological ailments. Intra-leisonal route of administration provides advantage of achieving high concentration locally without systemic adverse effects. Various indication in orthopaedics practice which need intralesional steroids are ganglion, Dequervian’s tenosynovitis, tennis and golfer’s elbow, Carpal Tunnel syndrome, Trigger finger Etc. Local adverse effects noted following this route of administration include dermal atrophy, ulceration, localized calcification, Hypo pigmentation etc. It seems to be dependent on certain factors such as concentration and potency of the drug being injected. The lesion is self-regressing and repigment by itself over the time. Topical application of various preparation helps in fastening the re-pigmentation process. Discussed are the 10 cases such lesion recovered completely.