Type IV hypersensitivity to a textured silicone breast implant.
J Plast Reconstr Aesthet Surg
; 65(7): 969-72, 2012 Jul.
Article
em En
| MEDLINE
| ID: mdl-22236477
ABSTRACT
We present a case of hypersensitivity to a breast implant in a 57-year old female with breast cancer and hypersensitivity to adhesive dressings. A mastectomy, axillary node clearance, latissimus dorsi flap and silicone implant-based reconstruction were performed. The mammary wound dehisced within three weeks and the implant required removal. No pus was present, and cultures were negative. Three years later, a further silicone implant was inserted. Within three weeks from insertion, the patient required readmission with serous discharge from the wound, flu-like symptoms, low-grade pyrexia and painful swelling at the operative site. The implant was removed. Capsule biopsies demonstrated a large lymphoid cell reaction, in keeping with a delayed hypersensitivity reaction. Patch testing to samples of the implant was positive.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Silicones
/
Implantes de Mama
/
Hipersensibilidade Tardia
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Plast Reconstr Aesthet Surg
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Reino Unido