Intralesional steroid injection is the process of injecting a corticosteroid such as Triamcinolone directly into a skin lesion. It is generally injected right under the skin. It is used for skin conditions such as nodulocystic acne, localized psoriasis, alopecia areata, hypertrophic lichen planus, and other inflammatory skin infections.
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Why do I have a small bump on my stomach for the past few years?
Query: Hello doctor, I have had this little bump on my stomach for a few years. I have attached a picture of the bump. I have shaved the area to give you a better picture. The bump is not growing or increasing in size. It has been the same size. What could this be? Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen the attached picture (attachment removed to protect patient identity). Since there are many causes of nodule and complete history with good clinical examination is necessary to diagnose the nodule, I would like to give a differential diagnosis of what could it... Read Full »
What is the cause of chalazion and how to cure it?
Query: Hello doctor, A few days before, when I woke up, my eyes are swollen and painful. The swelling started to settle down after a few days by using warm compression, but there is a lump on my left eye. I do have a history of a chalazion in the left eye before two months. I underwent surgery in the past... Read Full »
Answer: Hello, Welcome to icliniq.com. A chalazion is caused when glands (meibomian glands) in eyelids are blocked. Chalazion sometimes reduces with anti-inflammatory drops but very less. There are two options left now since it has not reduced, intralesional steroid injection or surgery (Incision and Cur... Read Full »
My MRI scan report shows stenosis of the spine. Is it alarming?
Query: Hello doctor, Three days back, I had an MRI scan of my brain and spine. The brain report was normal; however, the spine had some issues. The reports said I have two types of stenosis, canal and foraminal. The canal stenosis is mild to moderate involving C5 and C6, whereas the foraminal stenosis is s... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen your reports (attachments removed to protect patient's identity), and your MRI (magnetic resonance imaging) scan shows severe foraminal stenosis at C 5/6 and left side of C 6/7. You do not have any cord changes, and it is borne by the fact that the central ... Read Full »
There are hairless patches in my beard. What can it be?
Query: Hello doctor, There is a hairless patch forming in my beard. The hairless patch feels smoother. Please help. Read Full »
Answer: Hi, It is called alopecia areata. I suggest you try the following: Desowen cream (Desonide), twice daily. Visit a dermatologist for intralesional steroid injection (ILS), it helps hair regrowth. It is given once in three weeks. Oral zinc supplement, tablet Zinfate, once daily for a month. Consult ... Read Full »
Can I take steroid injection for a bald patch on the beard?
Query: Hi doctor, I have a bald patch on the beard for the past three weeks. I am suspecting alopecia. I have uploaded the photo. Please help me. Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen your picture (attachment removed to protect patient identity). Your concern is alopecia areata, which is an autoimmune entity. I suggest you try Tacroz forte (Tacrolimus) twice daily on the patch. Consult your specialist doctor, discuss with him or her and ta... Read Full »
Why do I have black patches on the periphery of my feet?
Query: Hi doctor, I have skin allergy on feet. Black patches on periphery of feet. Lack of moisture in those areas causing wide open cracks and even the flesh are exposed outside. I have attached the pictures for your reference. Kindly guide. Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. Is the lesion present on both the feet? Do you have any itchy lesion anywhere else in the body? How long have you had it? Judging by the photographs (attachment removed to protect patient identity) and the limited history, I have come to the following conclusi... Read Full »
What is the treatment for the scar on my face?
Query: Hello doctor, I have these marks which were initially boils. I have had these marks on my chin before but was not so bad, but the other day I had three boils and it made the marks on my face look more standing out as before they were not noticeable. I used hot water on my boils and I think that it ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen your query and concern and examined your picture (attachment removed to protect patient identity). With your descriptions and given picture, it seems you have a hypertrophic scar (raised scar due to excess collagen deposits). If you will not treat them, it w... Read Full »
I want to avoid scarring due to popping of cystic pimple on eyebrow. Kindly help.
Query: Hi doctor, I had a cystic pimple on my eyebrow for about a week that just popped under the skin last night. I have never experienced this before. So, I am worried about scarring. Is this something I need to go and check with a dermatologist immediately to clean it out if I want to avoid scarring? Wh... Read Full »
Answer: Hi, Welcome to icliniq.com. I have reviewed the clinical photograph attached (attachment removed to protect patient identity). Yes, you have developed nodulocystic acne. What did you mean by it has popped last night? Is this same lesion present for one week or it has subsided now since yesterday? ... Read Full »
What can be done to avoid irritation and rubbing of keloid on chest?
Query: Hi doctor, I have a keloid I guess at the center of my chest from past one year and a new one developed since a few months back. I took treatment but was not effective. I used to take Isotretinoin capsules daily and apply Clobkare cream. One major problem I face with them is they rub against the sh... Read Full »
Answer: Hi, Welcome to icliniq.com. Keloids are a type of scars which itches or irritates when something touches it. Do not apply any tapes or plaster because if you try to remove the tape you will pluck your hair which in turn induce keloid formation. You can plan for intralesional Triamcinolone injectio... Read Full »