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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
Department of Dermatology, King Faisal University, Al Hasa
|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.
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