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[长期使用真皮填充剂后出现大量肉芽肿形成]

[Massive granuloma formation after long-term use of dermal fillers].

作者信息

Roider E M, Gauglitz G, Flaig M J, Ruzicka T, Schauber J

机构信息

Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Building 149, 13th Street, 02129, Charlestown, MA, USA,

出版信息

Hautarzt. 2015 Aug;66(8):620-4. doi: 10.1007/s00105-014-3578-5.

DOI:10.1007/s00105-014-3578-5
PMID:25633722
Abstract

BACKGROUND

Since dermal fillers were introduced in 1981, millions of patients have undergone wrinkle treatment with dermal fillers. Except for autologous fat, all fillers can act as potential foreign bodies, which have the potential ability to induce an immune reaction. Persisting material may induce activation of the immune system and finally granuloma formation. Frequency, histology, and clinical presentation of such foreign body reactions may vary depending on the filler used.

CASE REPORT

This case describes a patient who received innumerable filler injections over the last two decades presenting with massive facial granulomas.

摘要

背景

自1981年真皮填充剂问世以来,数以百万计的患者接受了使用真皮填充剂的除皱治疗。除自体脂肪外,所有填充剂都可能作为潜在的异物,具有引发免疫反应的潜在能力。残留物质可能会诱导免疫系统激活并最终形成肉芽肿。此类异物反应的发生率、组织学表现和临床表现可能因所使用的填充剂而异。

病例报告

本病例描述了一名患者,在过去二十年中接受了无数次填充剂注射,出现了大量面部肉芽肿。

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1
[Massive granuloma formation after long-term use of dermal fillers].[长期使用真皮填充剂后出现大量肉芽肿形成]
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本文引用的文献

1
Inflammatory nodules following soft tissue filler use: a review of causative agents, pathology and treatment options.炎症性结节继发于软组织填充剂使用:病因、病理及治疗选择的综述。
Am J Clin Dermatol. 2013 Oct;14(5):401-11. doi: 10.1007/s40257-013-0043-7.
2
Granulomatous foreign-body reaction with facial dermal fillers after omalizumab treatment for severe persistent allergic asthma: a case report.奥马珠单抗治疗重度持续性过敏性哮喘后面部真皮填充剂引起的肉芽肿性异物反应:一例报告
Br J Dermatol. 2012 Jun;166(6):1375-6. doi: 10.1111/j.1365-2133.2012.10817.x.
3
Foreign body granulomas after all injectable dermal fillers: part 2. Treatment options.
所有可注射真皮填充剂注射后引起的异物肉芽肿:第2部分。治疗选择。
Plast Reconstr Surg. 2009 Jun;123(6):1864-1873. doi: 10.1097/PRS.0b013e3181858f4f.
4
Delayed immune-mediated adverse effects of polyalkylimide dermal fillers: clinical findings and long-term follow-up.聚烷基酰亚胺真皮填充剂的迟发性免疫介导不良反应:临床发现与长期随访
Arch Dermatol. 2008 May;144(5):637-42. doi: 10.1001/archderm.144.5.637.
5
Facial cosmetic filler injections as possible target for systemic sarcoidosis in patients treated with interferon for chronic hepatitis C: two cases.面部美容填充剂注射可能是慢性丙型肝炎患者接受干扰素治疗后系统性结节病的靶点:两例报告
Dermatology. 2008;217(1):81-4. doi: 10.1159/000128281. Epub 2008 Apr 29.
6
Adverse cutaneous reactions to soft tissue fillers--a review of the histological features.软组织填充剂的皮肤不良反应——组织学特征综述
J Cutan Pathol. 2008 Jun;35(6):536-48. doi: 10.1111/j.1600-0560.2007.00853.x. Epub 2008 Jan 14.
7
Use of hyaluronidase in the treatment of granulomatous hyaluronic acid reactions or unwanted hyaluronic acid misplacement.透明质酸酶在治疗肉芽肿性透明质酸反应或不必要的透明质酸错位中的应用。
Dermatol Surg. 2005 Aug;31(8 Pt 1):893-7. doi: 10.1097/00042728-200508000-00001.