Delayed Inflammatory Reactions to Hyaluronic Acid Fillers: A Case Series of Novel Associations.

IF 1.5 4区 医学 Q3 DERMATOLOGY Journal of Drugs in Dermatology Pub Date : 2025-01-01 DOI:10.36849/JDD.8468
Rahul Nanda, Jason Covone, Joel L Cohen
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Abstract

Background: Delayed reactions to hyaluronic acid (HA) fillers have been reported following various immunologic and infectious triggers.

Aim: Herein, we describe cases of delayed immunologic reactions (DIRs) following HA-soft tissue augmentation fillers precipitated by triggers not previously described in the literature.  Patients: Case 1 describes a 57-year-old female with DIR to HA-filler following a motor vehicle accident in the marionette lines and nasolabial folds. Case 2 is a 54-year-old female who had a filler-related DIR following an episode of contact dermatitis shortly after laser resurfacing. Finally, in Case 3, we diagnosed a 54-year-old female with DIR to HA-filler on the hands following prolonged gardening without gloves.  Conclusion: DIRs are an important filler-related complication. Practitioners need to be aware of the variable clinical presentations and a wide array of triggers. Given that these may not always be preventable, it is important for patients to understand the risk of DIRs, albeit low. J Drugs Dermatol. 2025;24(1):101-103.    doi:10.36849/JDD.8468.

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透明质酸填充物的延迟炎症反应:一系列新的关联病例。
背景:对透明质酸(HA)填充物的延迟反应已被报道,在各种免疫和感染触发后。目的:在此,我们描述了在ha -软组织增强填充物后由先前文献中未描述的触发因素引起的延迟免疫反应(DIRs)的病例。患者:病例1描述了一名57岁的女性,在机动车事故后在牵线线和鼻唇襞发生了DIR到ha填充。病例2是一名54岁的女性,她在激光换肤后不久出现接触性皮炎后出现了与填充物相关的DIR。最后,在病例3中,我们诊断了一名54岁女性,在长时间不戴手套园艺后,手部出现了DIR到ha填充。结论:DIRs是重要的填充物相关并发症。从业者需要意识到可变的临床表现和各种各样的触发因素。鉴于这些可能并不总是可以预防的,对患者来说,了解DIRs的风险是很重要的,尽管风险很低。医学与皮肤杂志,2025;24(1):101-103。,doi: 10.36849 / JDD.8468。
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来源期刊
CiteScore
2.20
自引率
13.30%
发文量
289
审稿时长
3-6 weeks
期刊介绍: The Journal of Drugs in Dermatology (JDD) is a peer-reviewed publication indexed with MEDLINE®/PubMed® that was founded by the renowned Dr. Perry Robins MD. Founded in 2002, it offers one of the fastest routes to disseminate dermatologic information and is considered the fastest growing publication in dermatology. We present original articles, award-winning case reports, and timely features pertaining to new methods, techniques, drug therapy, and devices in dermatology that provide readers with peer reviewed content of the utmost quality. Our high standards of content are maintained through a balanced, peer-review process. Articles are reviewed by an International Editorial Board of over 160 renowned experts.
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