Letters to the Editor Combining Triamcinolone and Lidocaine for Soft Tissue Injections

摘要

To the editor: In the article on Dupuytren's disease, Drs. Tiojian and Chu describe a procedure for injecting lidocaine 2% (Xylo-caine) followed by triamcinolone acetonide (Kenalog) for the treatment of early disease. The accompanying footnote ("Lidocaine will precipitate triamcinolone; therefore, do not mix the two agents.") caught me by surprise as I have been mixing these two agents in the same syringe for soft tissue and joint injections for many years without incident.