Intralesional Steroid Injections

Topical steroid preparations are a mainstay of dermatological therapy but there are times when a better response can be achieved by injecting a suspension of a steroid powder directly into the area to be treated.

Intralesional steroids are available at different concentrations and the dermatologists at Stratum Clinic, Oxford are trained in their use in the treatment of a number of dermatological conditions including but not limited to, thickened scar reactions (hypertrophic and keloid scars), alopecia areata, abnormal nails in psoriasis (psoriatic nail dystrophy) and hypertrophic lichen planus. The benefit of the steroid becomes apparent over a few weeks as the powder dissolves and the injections may need to be repeated after about 8 weeks. When treating scarring we will often combine the injections with cryosurgery and pulsed dye laser treatment.