• Am J Emerg Med · Dec 2018

    Case Reports

    Silicone pneumonitis, diffuse alveolar hemorrhage and acute respiratory distress syndrome from gluteal silicone injections.

    • Jennifer Blanco, Stephanie Gaines, Jawad Arshad, and Johnathan M Sheele.
    • Department of Emergency Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH 44106, USA.
    • Am J Emerg Med. 2018 Dec 1; 36 (12): 2340.e3-2340.e4.

    AbstractFatal complications from illegal cosmetic injection of nonmedical-grade liquid silicone (polydimethylsiloxane) by unlicensed providers are becoming more common. Silicone embolization syndrome (SES) can rapidly progress to pneumonitis and diffuse alveolar hemorrhage. Prompt and aggressive management with high-dose steroids and lung-protective ventilation strategies to minimize acute respiratory distress syndrome (ARDS) can be lifesaving. We present the case of a patient presenting with abdominal pain and shortness of breath who quickly developed respiratory failure. The patient recently had received bilateral gluteal silicone injections from an unlicensed provider.Copyright © 2018 Elsevier Inc. All rights reserved.

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