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    Recurrent Silicone Embolism Syndrome requiring VA ECMO

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    Author
    Madan, Nikhil
    Khan, Umair
    Martins, Anthony
    Andries, Gabriela
    Matthews, John
    Patel, Vipul
    Visveswaran, Gautam
    Date
    2022-01-01
    Journal
    Respiratory Medicine Case Reports
    Publisher
    W.B. Saunders
    Type
    Article
    
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    See at
    https://doi.org/10.1016/j.rmcr.2021.101576
    Abstract
    The illegal use of liquid silicone in injectable procedures has been on the rise for the last few years. While originally thought to be an inert material, today, silicone is associated with several inflammatory complications-including Silicone Embolism Syndrome (SES). SES is the most dreaded complication of unlicensed liquid silicone injections. It is characterized by pneumonitis, diffuse alveolar and silicone pulmonary emboli leading to acute respiratory distress syndrome and cardiopulmonary failure. We present a case of a patient who was diagnosed with SES after she received unlicensed liquid silicone injections for gluteal augmentation. Her disease necessitated treatment with veno-arterial extracorporeal membrane oxygenation. Her neurological status remained poor. Our patient was also treated for SES status-post illicit silicone injections several years prior to the current episode. To our knowledge, this is the only reported instance of the same patient experiencing SES status-post illicit silicone injections on two separate occasions. Our patient's case suggests that robust education is needed for patients and the general public regarding the dangers of illicit body modifications. Given the widespread availability of counterfeit “medical grade” silicone, it is likely that the number of SES cases will continue to increase. Physicians must to be able to recognize the symptoms of SES, and not discount the possibility that patients will continue to receive illicit injections-even if they experienced devastating consequences the first time. © 2022 The Authors
    Keyword
    Case report
    ECMO
    Silicone embolism syndrome
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/17815
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.rmcr.2021.101576
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