Vibra-Puncture Technique in the Treatment of Localized Neurodermatitis

Topical and Intralesional Administration of Triamcinolone Acetonide: Advantages in Dermatologic Therapy

“…Triamcinolone acetonide 4 (10 mg. per ml., in sterile aqueous suspension) was injected intralesionally in the 3 cases of keloid. The 9 cases of psoriasis and the 11 cases of lichen simplex chronicus were treated by the multiple vibrapuncture technique, whereby needles are driven through a film or a well of steroid suspension on the prepared surface of the skin (27, 28). The vibrapuncture technique was selected because, in thickened and lichenified areas, it is often difficult to inject the steroid solution intralesionally against the resistance offered by the epidermis and dermis.…”

“…There is no longer any question about the preferential use of corticosteroids, alone or in combination with antibiotics, in the treatment of various skin diseases (1–28). These agents have proven decisive in many clinical states in which the associated inflammation and pruritus are of compelling importance.…”

Prednisolone Acetate

“…These include keloids, neurodermatitis of various types, necrobiosis lipoidica diabeticorum, psoriasis, discoid lupus erythematosus, lichen planus, granuloma annulare, cystic acne, localized myxedema, synovial cysts, ganglions, xanthoma tuberosum, chondrodermatitis nodularis chronica helicis, hidradenitis suppurativa, sarcoidosis, certain leukemic and lymphomatous infiltrates in the skin, and many other condition. [2][3][4] Prednisolone acetate was administered intradermally to 42 patients, either by syringe or by vibra-puncture technique. The concentration of the steroid ranged from 2.5 to 25 mg/cc.…”

Treatment of Hypertrophic Lichen Planus with Prednisolone Butylacetate

“…The purposes of this clinical study are the following: (1) to demonstrate the use of the vibrapuncture technique on a different clinical entity than the one for which it was employed by the author in a previous study1 (lichen simplex chronicus) and (2) to evaluate the results of a new steroid preparation which was employed in the vibrapuncture procedure for this series of cases.…”

“…He stated that all lesions regressed completely, although there was residual pigmentation. 1 have used this technique but would not infrequently be faced with the problem of some subsequent atrophy.…”