Treatment of Multiple Chalazions with Intralesional Kenalog-40 Injections in Juvenile Patient: A Case Report

Authors

  • Mirjana A. Janicijevic-Petrovic Clinic of Ophthalmology, Clinical Centre of Kragujevac, Kragujevac
  • Snezana Jancic Clinic of Pathology, Clinical Centre of Kragujevac, Kragujevac
  • Katarina Janicijevic Faculty of Medical Sciences, University of Kragujevac, Kragujevac
  • Andrijana Popovic Faculty of Medical Sciences, University of Kragujevac, Kragujevac

DOI:

https://doi.org/10.3889/oamjms.2013.016

Keywords:

chalazions, triamcinolone acetonide, Kenalog-40, incision-drainage, case report.

Abstract

Aim: To case report the efficacy of subcutaneous steroid injections in the treatment of multiple chalazions and to evaluate the safety of intralesional injection in primary and recurrent chalazions in juvenile patient.

Case report: A 25-year-old man noticed lesions which appeared on upper lid during past three months. It was clinically presented with three focal, large and painful nodules in upper right eyelid. Inflammation process began on May the 1st of 2013. After one month in May 30th 2013 was directly administered synthetic steroid, Kenalog-40. Application of triamcinolone acetonide resulted in two satellite lesions, compared to the original, when the same incisions drained during the first surgery in July 5th 2013, with topical antibiotic-steroidal drugs and hot compresses. Second surgery was in July 26th 2013. Third surgery was performed in August 5st 2013 with second application of Kenalog-40. Combined treatment leads to recovery of clinical signs and inflammation of right upper eyelid with regressions of primary and recurrent chalazions.

Conclusion: Two steroid subcutaneous injections produced complete resolution of multiple primary and recurrent chalazions. Clinical imperative was that recurrent or unusual refractory chalazions require referral to Hystopathological examination of curetting to exclude malignancy.

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References

Black RL, Terry JE. Treatment of chalazia with intralesional triamcinolone injection. J Am Optom Assoc. 1990; 61(12):904-6.

Mustafa TA, Oriafage IH. Three methods of treatment of chalazia in children. Saudi Med J. 2001; 22(11):968-72.

Ahmad S, Baig MA, Khan MA, Khan IU, Janjua TA. Intralesional corticosteroid injection vs surgical treatment of chalazia in pigmented patients. J Coll Physicians Surg Pak. 2006; 16(1):42-4.

Friedman SJ, Butler DF, Pittelkow MR. Perilesional linear atrophy and hypo-pigmentation after intralesional corticosteroid therapy. Report of two cases and review of the literature. J Am Acad Dermatol. 1988; 19(3):537-41.

Oikarinen A, Autio P. New aspects of the mechanism of corticosteroid-induced dermal atrophy. Clin Exp Dermatol 1991 Nov; 16(6):416-9.

Ben Simon GJ, Huang L, Nakra T, Schwarcz RM, McCann JD, Goldberg RA. Intralesional triamcinolone acetonide injection for primary and recurrent chalazia: is it really effective? Ophthalmology. 2005; 112(5):913-7.

Ben Simon GJ, Rosen N, Rosner M, Spierer A. Intralesional triamcinolone acetonide injection versus incision and curettage for primary chalazia: a prospective, randomized study. Am J Ophthalmol. 2011; 151(4):714-18.

Norris JH. Intralesional triamcinolone acetonide injection versus incision and curettage for primary chalazia: a prospective, randomized study. Am J Ophthalmol. 2012; 153(5):1005-6.

Bârsan S, Georgescu A, Stefăniu C. Eye lid reconstruction after bilateral palpebral complete necrosis after an extensive Pseudomonas aeruginosa infection (infected neonatal hordeola). Oftalmologia. 2010; 54(3):66-71.

Lindsley K, Nichols JJ, Dickersin K. Interventions for acute internal hordeola. Cochrane Database Syst Rev. 2013; 4:CD007742 [Pub Med - in process].

Sendrowski DP, Maher JF. Thermal cautery after chalazion surgery and its effect on recurrence rates. Optom Vis Sci. 2000; 77(11):605-7.

Brown TM, Pandya VB, Masselos K, Wang LW, Lee KJ, Figueira EC, Francis IC. A prospective randomized treatment study comparing three treatment options for chalazia: triamcinolone acetonide injections, incision and curettage and treatment with hot compresses: comment. Clin Experiment Ophthalmol. 2008; 36(4):394-5.

Ionova TA. The use of the preparation Kenalog-40 for treating chalazion in children. Oftalmol Zh. 1989; (7):441-2.

Knezevic T, Ivekovic R, Astalos JP, Novak Laus K, Mandic Z, Matejcic A. Botulinum toxin A injection for primary and recurrent chalazia. Graefes Arch Clin Exp Ophthalmol. 2009; 247(6):789-94.

Ramesh S, Ramakrishnan R, Bharathi MJ, Amuthan M, Viswanathan S. Prevalence of bacterial pathogens causing ocular infections in South India. Indian J Pathol Microbiol. 2010; 53(2):281-6.

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Published

2013-12-15

How to Cite

1.
Janicijevic-Petrovic MA, Jancic S, Janicijevic K, Popovic A. Treatment of Multiple Chalazions with Intralesional Kenalog-40 Injections in Juvenile Patient: A Case Report. Open Access Maced J Med Sci [Internet]. 2013 Dec. 15 [cited 2021 Apr. 12];1(1):83-6. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2013.016

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Section

C- Case Reports

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