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Other material risks of corticosteroid injections in musculoskeletal care Cartilage health (knee OA): In a two-year RCT (triamcinolone every 12 weeks vs saline), steroids increased cartilage volume loss with no pain benefit over placebo—raising legitimate disease-modification concerns with repeated dosing

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A crucial diagnostic feature that distinguishes DTM from other psychodermatoses is the patient's insight into the self-inflicted nature of their lesions and their expressed desire to cease the behavior [1]