Intralesional steroid injections for inflammatory nail dystrophies in the pediatric population

Pediatr Dermatol. 2023 Jul-Aug;40(4):759-761. doi: 10.1111/pde.15295. Epub 2023 Mar 20.

Abstract

Intralesional injections of triamcinolone acetonide are widely used to successfully treat several inflammatory nail conditions. This procedure is well described in adults, but less frequently reported in children and teenagers, being largely considered too invasive and fear-provoking for pediatric patients. Our report shows how this procedure is feasible and successful in children, even without a digital block. The step-by-step technique and tips to reduce pain should encourage clinicians to offer it as an alternative option to children with inflammatory nail disorders.

Keywords: adolescent; children; intralesional injections; intralesional steroid injections; nail disorders; nail lichen planus; nail psoriasis; triamcinolone acetonide.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Fear
  • Humans
  • Injections, Intralesional
  • Nail Diseases* / drug therapy
  • Pain / drug therapy
  • Pain / etiology
  • Triamcinolone Acetonide / therapeutic use

Substances

  • Triamcinolone Acetonide