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Updated: Jan 7, 2026

Author Spotlight: Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome
Published on: May 26, 2023
[Painful hands and swollen fingers due to fluoride: voriconazole-induced periostitis]
J F Schouten1,2, C G Ter Meulen1, C Kramers1
1Canisius Wilhelmina Ziekenhuis, afd. Klinische farmacie, Nijmegen.
Abstract:
A 67-year-old female on hemodialysis presented with persistent hand pain and swelling. She had been using voriconazole for pulmonary aspergillosis. Elevated alkaline phosphatase and periosteal reactions on imaging suggested voriconazole-induced periostitis, confirmed by high serum fluoride. Symptoms resolved within 3 days after switching to posaconazole.
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