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Gout - Management
Which corticosteroids are recommended for intra-articular injection?
- Intra-articular corticosteroids are not specifically licensed for the treatment of gout.
- Specific corticosteroids are recommended for different joints according to their size. Atrophy of subcutaneous tissues and local skin depigmentation may occur from peri-articular leakage of corticosteroid. The risk is greatest if large or repeated doses of a long-acting, potent corticosteroid are given. In general, for:
- Smaller joints: methylprednisolone or hydrocortisone is recommended.
- Larger joints: methylprednisolone or triamcinolone is recommended.
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