Subcutaneous lipoatrophy and skin depigmentation secondary to TMJ intra-articular corticosteroid injection

Simple item page
dc.contributor.authorSkármeta, Nicolás
dc.contributor.authorHormazábal, Fernando
dc.contributor.authorAlvarado, Juan
dc.contributor.authorRodriguez, Ana
dc.date.accessioned2018-01-17T12:15:43Z
dc.date.available2018-01-17T12:15:43Z
dc.date.issued2017
dc.description.abstractChronic orofacial pain is a complex multidimensional experience that produces disability and impairment of normal mandibular function. Overall estimations of chronic orofacial pain prevalence are 7 to 11% of the general population. Temporomandibular disorders (TMDs) are one of the most prevalent chronic orofacial pain conditions, with temporomandibular joint (TMJ) arthralgia accounting for 30.1% of TMD patients. Interventional procedures are often used in pain and palliative medicine to achieve reasonable and cost-effective pain relief. The use of intra-articular corticosteroids in relieving arthralgia and improving joint function has been well documented. We present the clinical case of an 84-year-old female patient who presented to the Hospital del Salvador orofacial pain service with preauricular pain, limited range of motion, provoked pain at palpation, and decreased function in the preauricular region. In accordance with the DC/TMD criteria, left TMJ arthralgia and degenerative joint disease was diagnosed and was later corroborated by cone beam computed tomography. An intra-articular injection of 10 mg of methylprednisolone was prescribed, and the patient underwent the procedure in accordance with Hospital del Salvador's intra-articular injection protocol. The patient underwent the intervention without any inconvenience. At the 3-week follow-up visit, the patient presented with a depigmented depression zone adjacent to the site of injection. After echotomography, we concluded that the patient had developed skin depigmentation and subcutaneous lipoatrophy related to the intra-articular injection of methylprednisolone. To the best of our knowledge, this is the first report of this complication secondary to an interventional procedure in the TMJ. Clinicians should be aware of, and patients must be advised of, this rare complication before an intra-articular intervention.
dc.format.extent6
dc.identifier.citationJ Oral Maxillofac Surg. 2017 Dec;75(12):2540.e1-2540.e5
dc.identifier.urihttp://hdl.handle.net/11447/1905
dc.identifier.urihttp://dx.doi.org/10.1016/j.joms.2017.07.174
dc.language.isoen_US
dc.publisherElsevier
dc.subjectAnti-Inflammatory Agents
dc.subjectArthralgia
dc.subjectHypopigmentation
dc.subjectLipodystrophy
dc.subjectMethylprednisolone
dc.subjectSubcutaneous Fat
dc.subjectTemporomandibular Joint Disorders
dc.titleSubcutaneous lipoatrophy and skin depigmentation secondary to TMJ intra-articular corticosteroid injection
dc.typeArtículo

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Subcutaneous Lipoatrophy and Skin Depigmentation Secondary to TMJ Intra-Articular Corticosteroid Injection.pdf
Size:
177.88 KB
Format:
Adobe Portable Document Format
Description:
Resumen
Download

Collections

Artículos Medicina y Ciencias de la Salud

Implementado por OpenGeek Services