Nicolau syndrome in an athlete following intra-muscular diclofenac injection
Hamilton, B.; Fowler, P.; Galloway, H.; Popovic, N.
Acta Orthopaedica Belgica 74(6): 860-864
2008
ISSN/ISBN: 0001-6462 PMID: 19205337 Document Number: 615183
Nicolau Syndrome (also known as Embolia cutis medicamentosa and livedo-like dermatitis) is a rare but severe localized adverse drug reaction to a range of intra-muscular preparations. It manifests as acute pain, cutaneous, subcutaneous and intra-muscular inflammation and necrosis immediately following an injection, with potentially devastating sequelae. We describe the syndrome in a 21-year-old national level race walk athlete following an intramuscular diclofenac injection.