Nicolau Syndrome after Intramuscular Injection: 3 Cases

Nicolau syndrome is a rare complication of intramuscular injection consisting of ischemic necrosis of skin, soft tissue, and muscular tissue that arises locoregionally. The characteristic pattern is pain around the injection site, developing into erythema, a livedoid dermatitis patch, and necrosis of the skin, subcutaneous fat, and muscle tissue. Three patients were injected with drugs (diclofenac sodium, ketoprofen, meperidine) for pain relief. Three patients complained of pain, and a skin lesion was observed, after which necrosis developed on their buttocks. Each patient underwent debridement and coverage. The wound healed uneventfully. We report three cases of Nicolau syndrome in the buttocks following diclofenac intramuscular injection.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Nicolau Syndrome after Intramuscular Injection: 3 Cases ; volume:39 ; number:03 ; year:2012 ; pages:249-252
Archives of Plastic Surgery ; 39, Heft 03 (2012), 249-252

Contributor
Kim, Seok-Kwun
Kim, Tae-Heon
Lee, Keun-Cheol

DOI
10.5999/aps.2012.39.3.249
URN
urn:nbn:de:101:1-2022061610184165933134
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:32 AM CEST

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Associated

  • Kim, Seok-Kwun
  • Kim, Tae-Heon
  • Lee, Keun-Cheol

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