Intralesional steroid injections for inflammatory nail dystrophies in the pediatric population

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-bystep technique and tips to reduce pain should encourage clinicians to offer it as an alternative option to children with inflammatory nail disorders.

Alopecia Areata of the Nails: Diagnosis and Management

“…Complete resolution was seen in three out of four patients, but relapses occurred in two out of three patients [ 56 ]. In this study, injections were performed with a jet injector—a device that should be, however, discouraged due to the potential risk of splashback of blood and the scarce manageability on a small and convex structure like the nail unit or a periungual thin skin of a child [ 57 , 58 , 59 ]. Intralesional injections should be performed with an insulin syringe with a built-in needle or a Luer lock syringe with a 30-gauge needle.…”