Corticoids in Analgesia for Postoperative Pain Control in Resection of Digital Fibrokeratoma

A Case Report

Authors

DOI:

https://doi.org/10.37467/revmedica.v11.4989

Keywords:

Anesthesia, Analgesia, Glucocorticoid, Triamcinolone, Fingers, Nails, Fibroma

Abstract

Postoperative pain control in surgeries performed on the nail apparatus is a challenge in dermatological practice. The use of corticosteroids (from now one, CE) in combination with intradermal or intralesional anesthetics has been used by other specialties to control joint pain and postoperative analgesia. Could this practice reduce pain in patients where the nail apparatus is manipulated? We present the case of a 50-year-old patient with onychodynia in whom the presence of a digital fibrokeratoma was diagnosed. For the surgical resection of this tumor, perioperative analgesia with triamcinolone acetonide (from now one, TA) was used, achieving adequate control of postoperative pain.

References

Di Chiacchio, N., Ocampo-Garza, J., Villarreal-Villarreal, C. D., Ancer-Arellano, J., Noriega, L. F., & Di Chiacchio, N. G. (2019). Post-nail procedure analgesia: A randomized control pilot study. In Journal of the American Academy of Dermatology, 81(3), 860–862. https://doi.org/10.1016/j.jaad.2019.05.015 DOI: https://doi.org/10.1016/j.jaad.2019.05.015

Hurt, M. A., & Weedon, D. (2012). Weedon D. Weedon’s Skin Pathology. 3rd ed. London: Churchill Livingstone Elsevier, 2010. In Dermatology Practical & Conceptual, 2(1), 79–82. https://doi.org/10.5826/dpc.0201a15 DOI: https://doi.org/10.5826/dpc.0201a15

Jegal, M., Woo, S. J., Il Lee, H., Shim, J. W., & Park, M. J. (2019). Effects of simultaneous steroid injection after percutaneous trigger finger release: a randomized controlled trial. The Journal of Hand Surgery, European Volume, 44(4), 372–378. https://doi.org/10.1177/1753193418813771 DOI: https://doi.org/10.1177/1753193418813771

Kloppenburg, M., & Berenbaum, F. (2020). Osteoarthritis year in review 2019: epidemiology and therapy. Osteoarthritis and Cartilage, 28(3), 242–248. https://doi.org/10.1016/j.joca.2020.01.002 DOI: https://doi.org/10.1016/j.joca.2020.01.002

Yélamos, O., Alegre, M., Garcés, J.R., L. Puig. (2013). Periungual Acral Fibrokeratoma: Surgical Excision Using a Banner Flap. Actas Dermo-Sifiliográficas, 104(9), 830–832. DOI: https://doi.org/10.1016/j.adengl.2012.10.014

Pehora, C., Pearson, A. M., Kaushal, A., Crawford, M. W., & Johnston, B. (2017). Dexamethasone as an adjuvant to peripheral nerve block. The Cochrane Database of Systematic Reviews, 11(11), CD011770. https://doi.org/10.1002/14651858.CD011770.pub2 DOI: https://doi.org/10.1002/14651858.CD011770.pub2

Shailee, P., & Tosti, A. (2014). An overview of management of drug induced hair and nail disorders. Future Medicine Ltd, 11(3), 327–338. DOI: https://doi.org/10.2217/cpr.14.18

Downloads

Published

2023-03-28

How to Cite

Gutierrez-Marin, P. A., Jaimes, Ángel O., Méndez-Gaviria, L., & Hernandez-Moreno, J. (2023). Corticoids in Analgesia for Postoperative Pain Control in Resection of Digital Fibrokeratoma: A Case Report. MEDICA REVIEW. International Medical Humanities Review / Revista Internacional De Humanidades Médicas, 11(2), 111–115. https://doi.org/10.37467/revmedica.v11.4989

Issue

Section

Clinical Cases