The Downside of Beauty: ASIA Syndrome Associated with Local Silicone Injections: A Literature Review

Mirabelle Ruyer-Thompson, A. Gurin, Vnia Borba, J. Haik, M. Harats, Hector Enrique Quiros-Lim, Y. Shoenfeld
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Abstract

Silicone has been widely used over the last two decades, mainly for aesthetic purposes. Growing data show that local free/liquid silicone injections, used as body filler, are possibly related to the onset of adverse effects, with autoimmune and inflammatory features. Several reactions have been described, some of which can be classified as ASIA-Autoimmune/Inflammatory Syndrome Induced by Adjuvants. Clinical presentations range from local inflammatory reactions to full-blown systemic autoimmune diseases. These cases share the similar chronological, clinical and histopathological features, as well as treatment rationale. The link between silicone breast implants and autoimmune disorders are still under debate, but local liquid silicone injections adverse effects are sporadically reported. The aim of this review is to identify common features of autoimmune and inflammatory adverse effects of local liquid silicone injections.
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美容的缺点:与局部硅胶注射相关的亚洲综合症:文献综述
硅胶在过去的二十年里被广泛使用,主要是为了美观。越来越多的数据显示,用作填充体的局部游离/液体硅胶注射可能与不良反应的发生有关,具有自身免疫和炎症特征。已经描述了几种反应,其中一些可归类为佐剂诱导的亚洲自身免疫/炎症综合征。临床表现从局部炎症反应到全身性自身免疫性疾病。这些病例具有相似的时间、临床和组织病理学特征,以及治疗原理。硅胶乳房植入物与自身免疫性疾病之间的联系仍在争论中,但局部液体硅胶注射的不良反应偶有报道。本综述的目的是确定局部液体硅胶注射的自身免疫和炎症不良反应的共同特征。
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