14-Gauge Coaxial Bone Needle Leads to Superior Results When Injecting Calcinosis Cutis

November 2023 | Volume 22 | Issue 11 | 7180 | Copyright © November 2023


Published online October 17, 2023

Matthew Helm MDa, Claire Hollins MDa, Weaver Kessler MDb, Jeffrey J. Miller MDa, Galen Foulke MDa

aPenn State Health, Department of Dermatology, Hersey, PA
bPenn State Health, Department of Radiology, Hersey, PA

STS administration into calcinosis cutis is complicated by nodule firmness leading to insufficient STS infiltration. By utilizing a 14-gauge coaxial bone marrow biopsy introducer needle, we can maximize the drug delivery into these lesions, enhance safety, and improve outcomes for our patients. We suggest that the delivery technique of this novel therapy be modified to benefit our patients and maximize results.

DISCLOSURES

The authors have no conflicts of interest to disclose.

Funding: Dr. Foulke is supported by a Dermatology Foundation Medical Dermatology Career Development Award.

ACKNOWLEDGMENT

I would like to acknowledge all the Penn State dermatology residents who have helped us provide care to these challenging patients and who have helped with the photography. I would also like to thank Apriomed for supplying the instruments needed for this study.

REFERENCES

  1. Reiter N, El-Shabrawi L, Leinweber B, Berghold A, Aberer E. Calcinosis cutis: part II. Treatment options. J Am Acad Dermatol. 2011;65(1):15-24. 
  2. Gunasekera NS, Maniar LEG, Lezcano C, et al. Intralesional Sodium Thiosulfate Treatment for Calcinosis Cutis in the Setting of Lupus Panniculitis. JAMA Dermatol. 2017;153(9):944-945.
  3. Winter AR, Klager S, Truong R, et al. Efficacy of intralesional sodium thiosulfate for the treatment of dystrophic calcinosis cutis: A double-blind, placebo-controlled pilot study. JAAD Int. 2020;1(2):114-120.
  4. Goossens J, Courbebaisse M, Caudron E, et al. Efficacy of intralesional sodium thiosulfate injections for disabling tumoral calcinosis: Two cases. Semin Arthritis Rheum. 2017;47(3):451-455.
  5. López-Sundh AE, Quintana-Sancho A, Durán-Vian C, et al. Clinical and ultrasound response to intralesional sodium thiosulfate for the treatment of calcinosis cutis in the setting of systemic sclerosis. A case-based review. Clin Rheumatol. 2021;40(7):2985-2989.

AUTHOR CORRESPONDENCE

Matthew Helm MD mhelm2@pennstatehealth.psu.edu
Close Menu