MANAGEMENT OF COMPLICATIONS FROM DERMAL FILERS AND INTRAARTICULAR MANIPULATIONS: RARE OR NOT SO RARE?
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Keywords

dermal fillers, intra-articular manipulations, complications

How to Cite

[1]
Dimova, Z., Boyadzhieva, V., Stoilov, N. and Stoilov, R. 2022. MANAGEMENT OF COMPLICATIONS FROM DERMAL FILERS AND INTRAARTICULAR MANIPULATIONS: RARE OR NOT SO RARE?. Rheumatology (Bulgaria). 30, 1 (Apr. 2022), 66-77. DOI:https://doi.org/10.35465/30.1.2022.pp66-77.

Abstract

With the development of Dermatology, the popularity of dermal fillers and the interest in them inevitably increases. More and more, patients are seeking their own dermatologist for cosmetic correction. The increase in the number of procedures performed leads to an increase in the frequency of their complications, which is one of the main reasons why these patients seek consultation with a rheumatologist.

Intra- and periarticular administration of corticosteroids is an important part of rheumatological practice in the treatment of various inflammatory joint diseases. This in turn carries risks of side effects that may be related to the systemic or local action of the corticosteroid.

We present two cases from the clinical practice related to complications after injecting hyaluronic acid and corticosteroid. The first case is of a woman in whom an aesthetic correction was made to rejuvenate the hands by placing hyaluronic acid in the dorsal part of the hands. The patient complained of redness, warmth, shine, swelling and burning pain in the area of ​​manipulation. The second case is of a patient with Juvenile Idiopathic Arthritis with bilateral carpitis who has been injected with intra-articular corticosteroids repeatedly (more than 20 for a period of 18 years). After the last intra-articular administration of corticosteroid in the radiocarpal joint, it was observed hypopigmentation and skin atrophy in the area of ​​the procedure.

https://doi.org/10.35465/30.1.2022.pp66-77
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