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Localized atrophy with surrounding hair growth in a case of alopecia areata treated with intralesional steroids, using a needle-less injector
2 Department of Pathology (Biomedical Sciences), King Faisal University, Al Hasa, Saudi Arabia
Correspondence Address:
Feroze Kaliyadan
Department of Dermatology, King Faisal University, Al Hasa
Saudi Arabia
How to cite this article: Kaliyadan F, Alkhateeb A, Swaroop K. Localized atrophy with surrounding hair growth in a case of alopecia areata treated with intralesional steroids, using a needle-less injector. Indian J Dermatol Venereol Leprol 2018;84:581-582 |
A 21-year-old female patient with extensive alopecia areata restricted to the scalp was given intralesional injections of triamcinolone acetonide (5 mg/ml) using a needleless injection device (Dermojet®). The patient was also on concomitant phototherapy for alopecia areata. Because of the development of atrophy and depigmentation at the sites of injection, intralesional injections were discontinued. On follow-up, significant hair growth was seen around these areas of atrophy at some dermojet injection sites [Figure - 1] whereas hair growth was less profuse on areas where there was no atrophy.
Figure 1: Localized atrophy with surrounding hair growth in the areas where intralesional steroids were delivered using the needleless injector |
Atrophy is an expected side effect of intralesional injections, but the presence of significant hair growth restricted to the areas surrounding atrophy was an interesting finding in our case.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
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