• M Réveillon, D Carré, M Plaquevent, F Alsubaiei, M Midhat, D Alcaix, F Plantier, N Dupin, B Terrier, L Guillevin, and P Bravard.
• Département de médecine interne, CHU de Rouen, 1, rue de Germont, 76031 Rouen cedex, France.
• Rev Med Interne. 2016 Jul 1; 37 (7): 489-92.

IntroductionSilicone injections, in particular illegal injections, carried out in an aesthetic purpose, can cause serious complications, like silicone embolism syndrome.Case ReportWe present a 39-year-old man who presented with a severe acute respiratory distress syndrome related to an alveolar hemorrhage associated with a persistent penis ulcer and a genital lymphedema. It was the complications of silicone injections which revealed a severe personality disorder. Diagnosis of silicone embolism syndrome was made, a few years later, thanks to the histopathology study of a persistent penis ulcer with genital lymphedema. The outcome was favorable.ConclusionA serious alveolar hemorrhage in a young patient should raise suspicion of silicone embolism syndrome, especially if there are cutaneous lesions compatible with injections.Copyright © 2015 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier SAS. All rights reserved.

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