Nicolau syndrome following glucocorticoid injection

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Stéphanie Bouvy, Sophie Fossoul (1) Published in the journal : April 2019 Category : Observations cliniques

Summary :

This article sought to present a rare iatrogenic complication occurring after a relatively common drug injection in medical practice. We have reported a "Nicolau syndrome" following a glucocorticoid injection. This term refers to a syndrome manifested by painful livedoid dermatitis, potentially associated with serious complications. This article aims to emphasize the relevance of preventing this syndrome, by providing technical recommendations for injections, along with the correct indications of glucocorticoid use. This paper ends by emphasizing the need of promptly diagnosing this syndrome, as accurately as possible, in order to limit its complications.

What is already known about the topic?

The Nicolau syndrome is an iatrogenic complication occurring following drug injection.

What does this article bring up for us?

This article provides us with tips and methods of prevention, as along with appropriate treatments, depending on syndrome evolution.

Key Words

Livedoid dermatitis, Nicolau syndrome, drug-induced cutaneous emboli