Abstract
Background: Corticosteroid injections are commonly used to treat a variety of inflammatory dermatologic conditions. Standard practice entails administering corticosteroids sometimes mixed with a local anesthetic, typically lidocaine with epinephrine. Owing to an acidic pH, local anesthetics cause a burning sensation during infiltration and this may be a significant component of associated injection pain. The goal of this study is to determine if removing lidocaine from intralesional steroid injections changes pain outcomes.
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