Intralesional steroid injections

What are intralesional steroid injections?

Intralesional steroid injections are a therapeutic dermatological procedure wherein corticosteroids are injected directly into specific skin lesions or affected areas. These injections deliver potent anti-inflammatory medication directly to the site of concern, providing targeted treatment for various dermatological conditions.

When are intralesional steroid injections indicated?

Intralesional steroid injections are indicated for a range of dermatological conditions, offering effective relief in specific cases. The decision to use this treatment is typically made by dermatologists based on the patient's individual circumstances. Intralesional steroid injections are commonly recommended for:

• Keloids and hypertrophic scars: Injections can help reduce the size and prominence of raised scars.
• Alopecia areata: This autoimmune condition causing hair loss can benefit from targeted steroid injections to promote hair regrowth.
• Psoriasis plaques: Intralesional steroids can be employed to manage localised psoriasis outbreaks.
• Acne cysts and nodules: Severe acne lesions may be treated with injections to reduce inflammation and speed up healing.
• Lichen planus: This inflammatory skin condition may respond positively to corticosteroid injections.
• Localised inflammatory conditions: Dermatologists may recommend intralesional steroids for specific inflammatory skin conditions that are limited to certain areas.

What do intralesional steroid injections involve?

The procedure involves several key steps, ensuring precision and effectiveness:

• Patient assessment: Dr Kunene conducts a thorough examination of the patient's skin condition to determine the suitability of intralesional steroid injections.
• Informed consent: Before proceeding, Dr Kunene discusses the potential benefits and risks of the procedure with the patient, obtaining informed consent.
• Site preparation: The targeted area is cleansed to minimise the risk of infection.
• Local anaesthesia: In some cases, a local anaesthetic may be applied to minimise discomfort during the injection.
• Injection technique: Using a fine needle, Dr Kunene administers the corticosteroid directly into the lesion or affected area. The injection is carefully placed to ensure optimal absorption and efficacy.
• Post-injection care: Patients receive instructions on post-injection care, which may include avoiding sun exposure, refraining from scratching or irritating the treated area, and any other specific guidelines based on their condition.
• Follow-up: Dr Kunene schedules follow-up appointments to monitor the response to treatment, assess any side effects, and adjust as needed.