Equipo Banco de Proyectos, Dirección de Investigación en Salud Pública, Instituto Nacional de Salud, Bogotá, D.C., Colombia.
Centro Médico Santuario, Cali, Colombia.
Biomedica. 2021 Mar 19;41(1):123-130. doi: 10.7705/biomedica.5707.
Introduction: The desire to improve one’s physical appearance through simple and economical methods has resulted in the indiscriminate application of modeling substances. As a result, iatrogenic allogenosis has emerged as an increasingly prevalent disease in Latin America. Objective: To describe the epidemiological characteristics and adverse effects arising from the use of modeling substances in a group of patients from Cali, Colombia. Materials and methods: We conducted a retrospective review of the medical records of patients who consulted for complications arising from the use of modeling substances during a six-year period. Results: A total of 1,322 patients were included of whom 95.5% were women. Patients’ ages ranged from 19 to 83 years, with an average of 39 years. The most infiltrated anatomical site showing adverse effects due to modeling substances was the buttocks. The asymmetry and increased volume of the infiltrated site were the most common signs while pain, mood disturbances, and depression or anxiety were the most commonly perceived symptoms. A total of 41.8% of patients ignored what substances they had received, and 28.5% received biopolymers; these procedures were mostly performed by non-qualified personnel. Conclusions: The care of these patients requires multidisciplinary teams to establish treatment alternatives to improve their quality of life. In addition, the regulation of establishments, as well as the surveillance, inspection, and control of the imports and use of these substances should be warranted.
人们渴望通过简单且经济的方法来改善自身的外在形象，这导致了塑形物质的滥用，由此引发了医源性异物反应，这种疾病在拉丁美洲愈发普遍。目的：描述一组来自哥伦比亚卡利的患者因使用塑形物质而产生的流行病学特征和不良影响。材料和方法：我们对在六年期间因使用塑形物质而出现并发症的患者的病历进行了回顾性分析。结果：共纳入了 1322 名患者，其中 95.5%为女性。患者年龄在 19 至 83 岁之间，平均年龄为 39 岁。最常见出现因塑形物质导致的不良影响的受侵解剖部位为臀部。最常见的体征为受侵部位的不对称和体积增大，最常见的症状为疼痛、情绪紊乱、抑郁或焦虑。41.8%的患者忽略了他们所接受的物质，28.5%的患者接受了生物聚合物；这些程序大多由非专业人员执行。结论：此类患者的治疗需要多学科团队来建立替代方案，以提高他们的生活质量。此外，应确保对这些物质的进口和使用进行监管，包括对机构的监管、监督、检查和控制。
