Adverse Effect of Steroids?
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I had a patient return to see me that I had given a steroid injection to a couple months ago. She returning complaining of dimpling in her gluteal muscle where the injection was administered. I know this is a potential risk of steroid injections, but I have never actually had this happen to a patient before, this was my first. I had used a low dose (40 mg IM) so I was surprised to see this. She denied pain or disability, but concerned about comestic appearance. It was a nickel size area of atrophy. I discussed with her that this always a potential risk but I had never seen it occur before. I referred her to her PCP for further eval and treatment (we are a urgent care center). My concern now is potential liability on my part for this adverse reaction? Anyone have any ideas or advice? Am I liable if she pursued legal action because of this adverse side effect?