Triamcinolone

Excerpt

A 53-year-old woman with active psoriasis received an injection of triamcinolone [Adcortyl] 10mg with lidocaine near the A1 pulley of her left index finger for triggering. She had previously received steroid injections for triggering of her right thumb and left ring finger, without adverse effects. Two days after the injection, she noticed pain and blistering of the palm close to the injection site, but also overlying her middle and ring finger A1 pulleys. Examination revealed a very tender blister over the palmar crease. She was managed conservatively and, following the initial blistering, her signs settled over a few weeks without treatment. Her symptoms had completely settled at 2-months’ follow-up. Koebner phenomenon was suggested as the most likely cause of her presentation. …