Red Hand… | Figure 1

ReginaldoCastro

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Internal Medicine

35 years old, female. One day ago she noticed erythema in her hand and part of her left forearm. She denies pain or itching. She went to the emergency room a day ago complaining of headache and was applied an ampoule of decadron 4 mg intramuscularly. She is diabetic with poor glycemic control and hypertensive.

Was there any mistake or lack of attention from the attending physician in the emergency service?

What could have caused this erythema?

The author made an update to this case

Update 1

The unilateral erythema of the hand is unlikely related to the intramuscular dexamethasone administered in the emergency department. Systemic corticosteroids typically do not cause localized erythema of a single limb. The absence of pain or pruritus also makes inflammatory or infectious causes less likely. A localized vascular response or recent contact exposure (irritant or chemical) is a more plausible explanation. Based on the available information, there is no clear indication of an error or lack of attention by the attending physician.

Diagnosis Added

Show diagnosis
Localized Vascular Response.

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