Steroid-induced perilymphatic hypopigmentation: Response to tacrolimus

Abstract

Intralesional steroids are commonly used in dermatological practice. This route of administration has the advantage of minimal side effects. However, other adverse reactions namely local atrophy, ulceration, infections, etc. have been noted. One peculiar side effect following this route of administration “steroid-induced perilymphatic hypopigmentation and atrophy” has been described below. Although this condition repigments spontaneously, the use of tacrolimus to fasten the response has been highlighted in the case report.

Keywords

• Linear and streaky hypopigmentation
• perilymphatic hypopigmentation
• steroid-induced hypopigmentation