RESUMEN
Gross migration of silicone gel from ruptured breast implants is a rare event. It is associated with extravasation of gel into the breast parenchyma, and to distant locations such as the abdominal wall and inguinal areas. This silicone deposits present as subcutaneous nodules and cause a local reaction known as siliconoma. We evaluated a 56-year-old woman who presented with a 2-year history of painful, firm and ill-defined subcutaneous nodules on the medial aspect of the shins and ankles. Her medical history was notable for bilateral breast augmentation with silicone implants 30 years before presentation. Although there were no signs or symptoms on breast examination, ultrasonography and magnetic resonance imaging confirmed that both implants had ruptured. Histological examination of a punch biopsy from a nodule on the shin found lobular granulomatous panniculitis. An excisional biopsy of the lesion was analysed by scanning electron microscopy and was found to contain silicone. This is a rare case of gross migration of silicone to the shins, originating from ruptured breast implants. To our knowledge, there is no previous report of silicone migration to such a distant location. We discuss the common presentation of silicone migration and highlight the importance of awareness among dermatologists and plastic surgeons about this unusual occurrence.
Asunto(s)
Implantes de Mama/efectos adversos , Dermatosis de la Pierna/etiología , Femenino , Reacción a Cuerpo Extraño/etiología , Humanos , Persona de Mediana Edad , Falla de Prótesis , Geles de Silicona/efectos adversosRESUMEN
This is the only scar assessment tool to include a component for patients to fill in. The few studies that investigated the effectiveness of this scale have found that it is a reliable, valid and feasible tool that is well suited for everyday practice.
Asunto(s)
Actitud Frente a la Salud , Cicatriz/patología , Evaluación en Enfermería/métodos , Pacientes/psicología , Índice de Severidad de la Enfermedad , Encuestas y Cuestionarios/normas , Cicatriz/complicaciones , Cicatriz/psicología , Estudios de Factibilidad , Humanos , Evaluación en Enfermería/normas , Investigación en Evaluación de Enfermería , Variaciones Dependientes del Observador , Dolor/etiología , Prurito/etiología , Psicometría , Reproducibilidad de los Resultados , Proyectos de InvestigaciónAsunto(s)
Cara , Granuloma de Cuerpo Extraño/etiología , Ácido Láctico/efectos adversos , Polímeros/efectos adversos , Fumar/efectos adversos , Infecciones Estreptocócicas/etiología , Estreptococos Viridans , Infección de Heridas/etiología , Absceso/etiología , Absceso/cirugía , Drenaje , Femenino , Granuloma de Cuerpo Extraño/cirugía , Humanos , Inyecciones Intradérmicas , Persona de Mediana Edad , Poliésteres , Factores de Riesgo , Infecciones Estreptocócicas/cirugía , Infección de Heridas/cirugíaRESUMEN
Hypertrophic and keloid scarring is a known complication of dermabrasion facial resurfacing, although only a very small fraction of patients experience it. Treatment with intralesional corticosteroid injections and flashed pumped vascular dye laser is recommended in the literature. The treatment of keloid and hypertrophic scars using intralesional 5-fluorouracil (5-FU) injections has been well described, but there is no literature regarding use of the same treatment for postdermabrasion hypertrophic and keloid scars. In this case report, we describe a 67-year-old woman with persistent postdermabrasion facial hypertrophic and keloid scars that were treated at our scar clinic using intralesional 5-FU injections.