Intralesional application of glucocorticosteroids

Glucocorticosteroids thanks to their anti-inflammatory, immunosuppressive, anti-allergic, anti-exudative and anti-proliferative qualities have found applications in treating lots of dermatologic diseases. Their intralesional application is recommended in case of changes resistant to topical treatment. It is also a method chosen to treat keloids. Thanks to stopping their growth and decrease of the thickness, scars become less visible.

Indications:

  • keloids
  • cyst form of acne
  • lichen planus in the area of scalp
  • frontal cicatricial alopesia
  • dermatic form of lupus erythematosus

Contraindications:

  • pregnancy and breast feeding
  • active viral infections (e.g. herpes) and bacterial ones in the area subjected to treatment

Process of treatment :

The preparation, with the use of a needle, is applied to the areas changed by a disease process.

 

Convalescence time :

In the place of the treatment skin may be red and there may appear some bruising connected to a blood vessel damage. These symptoms usually disappear within 2 –7 days.

Post treatment indications:

  • avoid sauna and solarium for a fortnight
  • avoid sun exposure for a fortnight
  • use sun protection – a cream with +50 sunscreen

The effect of the treatment

Stopping the disease process, in case of keloid- stopping its growth, decrease of its thickness, the change of colour from red to pink, nude.
Zahamowanie procesu chorobowego, w przypadku keloidu/ blizny przerosłej zahamowanie wzrostu, zmniejszenie grubości, zmiana  koloru z czerwonego na różowy, cielisty.

The frequency of treatments:

Usually, it is recommended to undergo a few treatments which can be repeated after circa 14 –30 days.
In case of keloids resistant to the treatment it is recommended to combine intralesional application of glucocorticosteroids with cryotherapy.

Time: 15 minutes
Anaesthesia: yes, topical (i.e. anaesthetic cream)

Lekarz wykonujący zabieg:

Dr n. med. Joanna Sułowicz

specjalista dermatolog-wenerolog
lekarz medycyny estetycznej

lek.med Anna Kubik

specjalista dermatolog-wenerolog
lekarz medycyny estetycznej