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Compressing the skin surface during treatment and emptying the blood vessel minimizes damage of the vessels that can lead to bruising and subsequent PIH.

Infants born to women who have received substantial doses of corticosteroids during pregnancy should be carefully observed for signs of hypoadrenalism and replacement therapy should be administered as required.

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Care should be taken with this kind of injection, particularly in the deltoid region, to avoid injecting the suspension into the tissues surrounding the site, since this may lead to tissue atrophy.

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The author hypothesized that the suppression might have occurred because the injection was in a highly mobile joint, which might have caused rapid release of the corticosteroid.

Corticosteroids also have major effects on the liver, particularly when given long term and in higher than physiologic doses.

The risk of adverse effects with pharmacologic doses of corticosteroids generally increases with the duration of therapy and frequency of administration and, to a lesser extent, with dosage.

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The average score at follow-up was 69 in the corticosteroid-injected knees and 91 in those not treated with corticosteroid injections.

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