Intralesional Hyaluronidase with Triamcinolone for Recalcitrant Pretibial Myxedema

نویسنده

  • Rachel M. White
چکیده

INTRALESIONAL HYALURONIDASE WITH TRIAMCINOLONE FOR RECALCITRANT PRETIBIAL MYXEDEMA Abstract Pretibial myxedema resulting in progressively worsening cutaneous induration and expanding nodules can lead to pain, discomfort and functional impairment. Treatment of resistant lesions presents a special challenge whereby topical therapies are insufficient, and systemic therapies are met with poor tolerability, low rate of effectiveness and the added risk of side effects. We report a patient with resistant pretibial myxedema nodules who demonstrated marked overall improvement of great toe lesions, including nodule size and associated discomfort, with repeat injections of hyaluronidase (Vitrase) both with and without triamcinolone acetate. Intralesional Hyaluronidase with Triamcinolone for Recalcitrant Pretibial Myxedema

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تاریخ انتشار 2017