Quiroz Diaz Humberto, Garcia Hernandez Alitzel, Castrejon Castro Ivonne
General Surgery, Hospital General Regional No. 1 Instituto Mexicano del Seguro Social (IMSS), Santiago de Querétaro, MEX.
Plastic Surgery, Hospital de Especialidades Centro Medico Nacional SXXI, Mexico City, MEX.
Cureus. 2025 Jul 21;17(7):e88418. doi: 10.7759/cureus.88418. eCollection 2025 Jul.
Autoimmune/inflammatory syndrome induced by adjuvant (ASIA) encompasses all conditions capable of triggering systemic inflammatory processes due to the use of adjuvant materials, including the use of breast implants in plastic surgery procedures. These conditions typically cause symptoms such as pain, redness, erythema, or capsular contracture and ultimately lead to the removal of these materials, resulting in subsequent clinical improvement. We report the case of a 32-year-old woman with a history of autoimmune disease (Evans syndrome) who underwent breast implant placement and subsequently developed clinical features consistent with ASIA, accompanied by thrombocytopenia. Both clinical symptoms and laboratory parameters improved following explantation of the implants.
佐剂诱导的自身免疫/炎症综合征(ASIA)包括所有因使用佐剂材料而能够引发全身炎症过程的病症,包括在整形手术中使用乳房植入物的情况。这些病症通常会引起疼痛、发红、红斑或包膜挛缩等症状,并最终导致移除这些材料,随后临床症状改善。我们报告了一例32岁有自身免疫性疾病(伊文斯综合征)病史的女性病例,该患者接受了乳房植入手术,随后出现了与ASIA相符的临床特征,并伴有血小板减少症。植入物取出后,临床症状和实验室指标均有所改善。