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ADVERSE REACTIONS: Intramuscular injection can cause skin rashes, itching, diarrhea, and allergic asthma

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(PubMed) Varkal MA, Karabocuoglu M

The steroids may be injected into a vein, muscle, soft tissue, bursae or tendon

The condition sneaks up on patients, often with subtle early symptoms that can be easily mistaken for the common fatigue of everyday life