Periorbital Silicone Granulomatosis 30 Years after Acupuncture
Silicone-based compounds are commonly used in many medical applications, such as coatings for needles and syringes. Foreign body granulomas are a well-recognized complication of silicone exposure; however, they may be challenging to identify without a clear history. A 61-year-old female patient with...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/6323646 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832568561208393728 |
|---|---|
| author | Nathan Pirakitikulr Ann Q. Tran Armando L. Garcia Sander R. Dubovy Wendy W. Lee |
| author_facet | Nathan Pirakitikulr Ann Q. Tran Armando L. Garcia Sander R. Dubovy Wendy W. Lee |
| author_sort | Nathan Pirakitikulr |
| collection | DOAJ |
| description | Silicone-based compounds are commonly used in many medical applications, such as coatings for needles and syringes. Foreign body granulomas are a well-recognized complication of silicone exposure; however, they may be challenging to identify without a clear history. A 61-year-old female patient without prior history of periocular injections, filler, or surgery presented to our oculoplastic clinic with multiple periocular lesions. The patient subsequently underwent excisional biopsy of two prominent lesions, which were identified as granulomas on pathology. Further questioning revealed the cause to be facial acupuncture performed decades prior, and a subsequent targeted exam identified additional lesions at other needling sites. A third lesion was subsequently excised, and there was no recurrence at the last follow-up 3 months postsurgery. Acupuncture is an increasingly common but underrecognized source of silicone exposure and can present up to several decades after exposure as a chronic granulomatous response in a characteristic multifocal pattern. |
| format | Article |
| id | doaj-art-407124ae518a4e6fbef0d9e53ba0402b |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-407124ae518a4e6fbef0d9e53ba0402b2025-02-03T00:58:44ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302020-01-01202010.1155/2020/63236466323646Periorbital Silicone Granulomatosis 30 Years after AcupunctureNathan Pirakitikulr0Ann Q. Tran1Armando L. Garcia2Sander R. Dubovy3Wendy W. Lee4Division of Oculofacial Plastic and Reconstructive Surgery, Bascom Palmer Eye Institute, University of Miami-Miller School of Medicine, Miami, FL, USADivision of Oculofacial Plastic and Reconstructive Surgery, Bascom Palmer Eye Institute, University of Miami-Miller School of Medicine, Miami, FL, USAFlorida Lions Ocular Pathology Laboratory, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USAFlorida Lions Ocular Pathology Laboratory, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USADivision of Oculofacial Plastic and Reconstructive Surgery, Bascom Palmer Eye Institute, University of Miami-Miller School of Medicine, Miami, FL, USASilicone-based compounds are commonly used in many medical applications, such as coatings for needles and syringes. Foreign body granulomas are a well-recognized complication of silicone exposure; however, they may be challenging to identify without a clear history. A 61-year-old female patient without prior history of periocular injections, filler, or surgery presented to our oculoplastic clinic with multiple periocular lesions. The patient subsequently underwent excisional biopsy of two prominent lesions, which were identified as granulomas on pathology. Further questioning revealed the cause to be facial acupuncture performed decades prior, and a subsequent targeted exam identified additional lesions at other needling sites. A third lesion was subsequently excised, and there was no recurrence at the last follow-up 3 months postsurgery. Acupuncture is an increasingly common but underrecognized source of silicone exposure and can present up to several decades after exposure as a chronic granulomatous response in a characteristic multifocal pattern.http://dx.doi.org/10.1155/2020/6323646 |
| spellingShingle | Nathan Pirakitikulr Ann Q. Tran Armando L. Garcia Sander R. Dubovy Wendy W. Lee Periorbital Silicone Granulomatosis 30 Years after Acupuncture Case Reports in Ophthalmological Medicine |
| title | Periorbital Silicone Granulomatosis 30 Years after Acupuncture |
| title_full | Periorbital Silicone Granulomatosis 30 Years after Acupuncture |
| title_fullStr | Periorbital Silicone Granulomatosis 30 Years after Acupuncture |
| title_full_unstemmed | Periorbital Silicone Granulomatosis 30 Years after Acupuncture |
| title_short | Periorbital Silicone Granulomatosis 30 Years after Acupuncture |
| title_sort | periorbital silicone granulomatosis 30 years after acupuncture |
| url | http://dx.doi.org/10.1155/2020/6323646 |
| work_keys_str_mv | AT nathanpirakitikulr periorbitalsiliconegranulomatosis30yearsafteracupuncture AT annqtran periorbitalsiliconegranulomatosis30yearsafteracupuncture AT armandolgarcia periorbitalsiliconegranulomatosis30yearsafteracupuncture AT sanderrdubovy periorbitalsiliconegranulomatosis30yearsafteracupuncture AT wendywlee periorbitalsiliconegranulomatosis30yearsafteracupuncture |