Intralesional Injection

When you pamper your skin , you nourish your soul 

When are intralesional injections used?

Intralesional injections of triamcinolone are given, in different dilutions, to treat alopecia areata, cystic acne, discoid lupus erythematosus, hypertrophic scars, keloids, lichen simplex chronicus, lichen planus and nail psoriasis.

 

Keloids before intralesional injections

Keloids after intralesional injections

What are keloids and hypertrophic scars?
Keloids and hypertrophic scars result from excessive fibrous repair tissue formation, after skin injury. A hypertrophic scar remains confined to the site of the injury. A keloid grows beyond the site of the injury, often with claw-like extensions.

How are hypertrophic scars and keloids treated?
Hypertrophic scars and keloids can be treated with intralesional injections, cryotherapy,  non-ablative lasers, pulsed light, silicon gel sheets and pressure garments. Refractory keloids may be excised using the carbon dioxide laser or by cold blade surgery.

 

What is alopecia areata?
Alopecia areata is a localized loss of hair in round patches without any visible change in the skin. Loss of all scalp hair and eyebrows is called alopecia totalis. Complete loss of all body hair is called alopecia universalis.

What is the treatment of alopecia areata?
Alopecia areata may be treated with topical and systemic steroids, intralesional triamcinolone, DNCB application, phenol cautery, cyclosporine, phototherapy and topical and oral JAK inhibitors.

What is cystic acne?
Cystic acne is a severe variety of acne with formation of bumps filled with semisolid material.

What is the treatment of cystic acne?
Cystic acne is first treated with oral isotretinoin. If it does not respond or if oral isotretinoin cannot be given, then intralesional injections of triamcinolone may be tried.

What is discoid lupus erythematosus?
In discoid lupus erythematosus, the patient develops bright red plaques with adherent scale. The lesions are usually present on the scalp, face and forearms. Scalp lesions may cause permanent hair loss.

What is the treatment of discoid lupus erythematosus?
Discoid lupus erythematosus may be treated with sunscreens, potent topical steroids, intralesional injections of triamcinolone, oral hydroxychloroquine and oral etretinate.

What is lichen planus?
Lichen planus is an inflammatory dermatosis characterized by itchy, polygonal, pink to violet, flat-topped, shiny papules (elevated solid lesions) on the skin. Lichen planus may also be present in the mouth, where it appears as a white netlike discolouration.

How is lichen planus treated?
Lichen planus may be treated with topical steroids, intralesional injections of triamcinolone, cyclosporine mouthwash and tablets, systemic steroids, oral acitretin or etretinate, phototherapy, mycophenolate mofetil, enoxaparin and azathioprine.

 

Alopecia areata beard area

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

This is the heading

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

What is lichen simplex chronicus?
Lichen simplex chronicus is a reaction pattern of the skin to chronic friction from rubbing or scratching.

How is lichen simplex chronicus treated?
Cessation of the itch-scratch-itch cycle is imperative. After that the skin lesions may be treated with topical steroids under occlusion, intralesional injections of triamcinolone, coal tar paste or Unna boot.

What is nail psoriasis?
25% of patients suffering from psoriasis exhibit nail changes. These include pitting, subungual hyperkeratosis, onycholysis (separation of the distal nail plate) and oil spots (brownish-yellow discolouration).

How is nail psoriasis treated?
Nail psoriasis is treated with intralesional injections of triamcinolone acetonide into the nail fold. Normal treatment methods for psoriasis may also help.