Recurrent Silicone Embolism Syndrome requiring VA ECMO
The illegal use of liquid silicone in injectable procedures has been on the rise for the last few years. While originally thought to be an inert material, today, silicone is associated with several inflammatory complications-including Silicone Embolism Syndrome (SES). SES is the most dreaded complic...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Respiratory Medicine Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213007121002380 |
| _version_ | 1818288395883905024 |
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| author | Nikhil Madan Umair Khan Anthony Martins Gabriela Andries John Matthews Vipul Patel Gautam Visveswaran |
| author_facet | Nikhil Madan Umair Khan Anthony Martins Gabriela Andries John Matthews Vipul Patel Gautam Visveswaran |
| author_sort | Nikhil Madan |
| collection | DOAJ |
| description | The illegal use of liquid silicone in injectable procedures has been on the rise for the last few years. While originally thought to be an inert material, today, silicone is associated with several inflammatory complications-including Silicone Embolism Syndrome (SES). SES is the most dreaded complication of unlicensed liquid silicone injections. It is characterized by pneumonitis, diffuse alveolar and silicone pulmonary emboli leading to acute respiratory distress syndrome and cardiopulmonary failure. We present a case of a patient who was diagnosed with SES after she received unlicensed liquid silicone injections for gluteal augmentation. Her disease necessitated treatment with veno-arterial extracorporeal membrane oxygenation. Her neurological status remained poor. Our patient was also treated for SES status-post illicit silicone injections several years prior to the current episode. To our knowledge, this is the only reported instance of the same patient experiencing SES status-post illicit silicone injections on two separate occasions.Our patient's case suggests that robust education is needed for patients and the general public regarding the dangers of illicit body modifications. Given the widespread availability of counterfeit “medical grade” silicone, it is likely that the number of SES cases will continue to increase. Physicians must to be able to recognize the symptoms of SES, and not discount the possibility that patients will continue to receive illicit injections-even if they experienced devastating consequences the first time. |
| first_indexed | 2024-12-13T01:55:42Z |
| format | Article |
| id | doaj.art-ae3fd4fc1689400187f3598e3f2c3dfe |
| institution | Directory Open Access Journal |
| issn | 2213-0071 |
| language | English |
| last_indexed | 2024-12-13T01:55:42Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Respiratory Medicine Case Reports |
| spelling | doaj.art-ae3fd4fc1689400187f3598e3f2c3dfe2022-12-22T00:03:24ZengElsevierRespiratory Medicine Case Reports2213-00712022-01-0136101576Recurrent Silicone Embolism Syndrome requiring VA ECMONikhil Madan0Umair Khan1Anthony Martins2Gabriela Andries3John Matthews4Vipul Patel5Gautam Visveswaran6Division of Pulmonary and Critical Care Medicine, Department of Medicine, Newark Beth Israel Medical Center, Newark, NJ, 07112, USA; Corresponding author. Newark Beth Israel Medical Center, 201 Lyons Avenue, Newark, NJ, 07112, USA.Department of Medicine, Newark Beth Israel Medical Center, Newark, NJ, 07112, USASt George Univeristy Medical School, Great River NY, 11739, USADivision of Cardiology, Department of Medicine, Newark Beth Israel Medical Center, Newark, NJ, 07112, USADepartment of Neuroradiology, Newark Beth Israel Medical Center, Newark, NJ, 07112, USADivision of Lung Transplant, Department of Medicine, University of Maryland, Baltimore, MD, USADivision of Cardiology, Department of Medicine, Newark Beth Israel Medical Center, Newark, NJ, 07112, USAThe illegal use of liquid silicone in injectable procedures has been on the rise for the last few years. While originally thought to be an inert material, today, silicone is associated with several inflammatory complications-including Silicone Embolism Syndrome (SES). SES is the most dreaded complication of unlicensed liquid silicone injections. It is characterized by pneumonitis, diffuse alveolar and silicone pulmonary emboli leading to acute respiratory distress syndrome and cardiopulmonary failure. We present a case of a patient who was diagnosed with SES after she received unlicensed liquid silicone injections for gluteal augmentation. Her disease necessitated treatment with veno-arterial extracorporeal membrane oxygenation. Her neurological status remained poor. Our patient was also treated for SES status-post illicit silicone injections several years prior to the current episode. To our knowledge, this is the only reported instance of the same patient experiencing SES status-post illicit silicone injections on two separate occasions.Our patient's case suggests that robust education is needed for patients and the general public regarding the dangers of illicit body modifications. Given the widespread availability of counterfeit “medical grade” silicone, it is likely that the number of SES cases will continue to increase. Physicians must to be able to recognize the symptoms of SES, and not discount the possibility that patients will continue to receive illicit injections-even if they experienced devastating consequences the first time.http://www.sciencedirect.com/science/article/pii/S2213007121002380Silicone embolism syndromeECMOCase report |
| spellingShingle | Nikhil Madan Umair Khan Anthony Martins Gabriela Andries John Matthews Vipul Patel Gautam Visveswaran Recurrent Silicone Embolism Syndrome requiring VA ECMO Respiratory Medicine Case Reports Silicone embolism syndrome ECMO Case report |
| title | Recurrent Silicone Embolism Syndrome requiring VA ECMO |
| title_full | Recurrent Silicone Embolism Syndrome requiring VA ECMO |
| title_fullStr | Recurrent Silicone Embolism Syndrome requiring VA ECMO |
| title_full_unstemmed | Recurrent Silicone Embolism Syndrome requiring VA ECMO |
| title_short | Recurrent Silicone Embolism Syndrome requiring VA ECMO |
| title_sort | recurrent silicone embolism syndrome requiring va ecmo |
| topic | Silicone embolism syndrome ECMO Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2213007121002380 |
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