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The cortisone flare: pain after a cortisone injection The commonest side effect is a cortisone flare increased pain in the first few days

Carmel R, Green R, Rosenblatt DS, Watkins D

The mechanism isnt fully established vitamin D receptors are present in skin tissue and vitamin D plays a role in skin cell differentiation, but the direct periorbital link hasnt been proven in controlled trials

In any case, treatment withdrawal must be gradual.43 Surgical treatment is recommended in the event that appropriate pharmacological treatment is ineffective or poorly tolerated, or when its effectiveness decreases over time