Local steroid hormone injections into hypertrophic scars resulted in depression of the lesion site and radiated linear depigmentation and atrophy surrounding the lesion: A case report

Abstract

Background Local steroid hormone injections into hypertrophic scars resulted in depression of the lesion site and radiated linear depigmentation and atrophy surrounding the lesion, which is extremely rare. We reported a case. Aim Our report was designed to explore the causes of this adverse reaction. Method We reported a case of strange adverse reactions after steroid hormone injection for hyperplastic scars: depression of the lesion and linear‐like depigmentation and atrophy of the skin around the lesion, which did not improve after 1 year of topical drug treatment. Results We considered that the injection was too deep. Steroid crystals are deposited in normal skin tissue and absorbed by the lymphatic vessel network responsible for removing macromolecules in the interstitial tissue, resulting in linear discoloration and atrophy along the lymphatic vessels. Conclusion When treating hyperplastic scarring, the doctor needs to strictly grasp the depth, level, and dosage of the injection and avoid such adverse reactions.