kaiser W, Biesenbach G, Stuby U, Grafinger P, Zazgornik J
IInd Medical Department, General Hospital Linz, Austria.
Ann Rheum Dis. 1990 Nov;49(11):937-8. doi: 10.1136/ard.49.11.937.
Autoimmune diseases following silicone or paraffin implantation are rarely encountered complications of plastic surgery. A 42 year old woman is presented who developed clinical and immunological features of systemic lupus erythematosus 11 years after silicone augmentation. After explanation antinuclear antibody titres decreased from 1/1280 to 1/160, C4 complement fraction and the previously raised angiotensin converting enzyme normalised in step with clinical improvement. It is important that plastic surgeons and rheumatologists should be aware of this possible association.
硅胶或石蜡植入后引发的自身免疫性疾病是整形外科中罕见的并发症。本文报告了一名42岁女性,她在硅胶隆乳11年后出现了系统性红斑狼疮的临床和免疫学特征。经解释后,抗核抗体滴度从1/1280降至1/160,C4补体成分以及先前升高的血管紧张素转换酶随着临床症状的改善而恢复正常。整形外科医生和风湿病学家应意识到这种可能的关联,这一点很重要。