Objectives: the objective of this case is to report an occurrence of a skin rash in a dermatomal distribution subsequent to a lumbar transforaminal epidural steroid injection.
Methods: in this clinical report, a 54-year old woman performed a left L5 transforaminal epidural steroid injection to manage left thigh and foot pain and tingling. She developed a rash in left L5 dermatomal distribution following injection.
Results and discussion: this is the first described case of a focal dermatomal rash occurring following lumbar transforaminal epidural steroid injection and we wish to remind pain practitioner’s of the possibility of anaphylactic events.