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{
    "pk": 1151,
    "title": "Weakness After an Intra-articular Steroid Injection: A Case Report of Acute Steroid-induced Myopathy",
    "subtitle": null,
    "abstract": "Introduction: \nWeakness is a common chief complaint in the emergency department, and the use of glucocorticoids is pervasive in medicine. Muscle weakness, or myopathy, is a well documented side effect of chronic glucocorticoid use. However, acute myopathy, with an onset shortly after initiation of glucocorticoids, is much rarer.\nCase Report: \nWe present a case of acute steroid-induced myopathy after a single intra-articular dose of triamcinolone in a young, healthy, active male. To our knowledge, this is the first case described in the medical literature of acute steroid-induced myopathy following a single intra-articular injection.\nConclusion:\n In a patient who presents with proximal muscle weakness and has a history of glucocorticoid use, the diagnosis of steroid-induced myopathy should be considered. Acute steroid-induced myopathy should be high on the differential in a patient who presents with typical symptoms and has been prescribed glucocorticoids for less than 14 days or, in rare cases, may have recently received a single dose of glucocorticoids. Treatment is supportive and outpatient management is typically indicated, as respiratory muscle involvement is rare.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "myopathy"
        },
        {
            "word": "steroid"
        },
        {
            "word": "glucocorticoids"
        },
        {
            "word": "intraarticular"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0f18c899",
    "frozenauthors": [
        {
            "first_name": "Matthew",
            "middle_name": "",
            "last_name": "Jordan",
            "name_suffix": "",
            "institution": "Navy Medicine Readiness and Training Command, Department of Emergency Medicine, Camp Lejeune, North Carolina",
            "department": "None"
        },
        {
            "first_name": "Lauren",
            "middle_name": "",
            "last_name": "Hensley",
            "name_suffix": "",
            "institution": "Navy Medicine Readiness and Training Command, Department of Internal Medicine, Portsmouth, Virginia",
            "department": "None"
        },
        {
            "first_name": "Michael",
            "middle_name": "",
            "last_name": "Jackson",
            "name_suffix": "",
            "institution": "Navy Medicine Readiness and Training Command, Department of Emergency Medicine, Portsmouth, Virginia",
            "department": "None"
        }
    ],
    "date_submitted": "2022-04-26T04:33:56+01:00",
    "date_accepted": "2022-04-26T04:33:56+01:00",
    "date_published": "2022-04-26T04:34:50+01:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1151/galley/891/download/"
        }
    ]
}