Lung

, Volume 187, Issue 4, pp 241–244

Silicone Injection Causing Acute Pneumonitis: A Case Series

Authors

    • Department of Pulmonary FibrosisInstituto Nacional de Enfermedades Respiratorias “Ismael Cosio Villegas” (INER)
  • Harold R. Collard
    • Department of MedicineUniversity of California San Francisco
  • Lourdes Barrera
    • Department of Pulmonary FibrosisInstituto Nacional de Enfermedades Respiratorias “Ismael Cosio Villegas” (INER)
  • Felipe Mendoza
    • Department of Pulmonary FibrosisInstituto Nacional de Enfermedades Respiratorias “Ismael Cosio Villegas” (INER)
  • W. Richard Webb
    • Department of RadiologyUniversity of California San Francisco
  • Guillermo Carrillo
    • Department of Pulmonary FibrosisInstituto Nacional de Enfermedades Respiratorias “Ismael Cosio Villegas” (INER)
Article

DOI: 10.1007/s00408-009-9150-x

Cite this article as:
Zamora, A.C., Collard, H.R., Barrera, L. et al. Lung (2009) 187: 241. doi:10.1007/s00408-009-9150-x

Abstract

Local and systemic complications following injected silicone have been described, especially after cosmetic procedures by unlicensed practitioners. We report a retrospective case series of acute pneumonitis following silicone injection to the buttock. Medical records, pulmonary function tests, blood arterial gases, chest radiographs, and high-resolution computed tomography scans were reviewed. Five patients with acute pneumonitis after injected silicone were identified. All cases were men with a mean age was 25 years. Three patients had the procedure performed by the same practitioner. The amount of injected silicone ranged from 30 to 500 ml. The onset of clinical symptoms began as early as 24 h after injection to as late as 15 days. All cases had diffuse, peripheral, occasionally wedge-shaped opacities on high-resolution computed tomography. At presentation the mean oxygen saturation was 84%. All were treated with steroids and had clinical resolution of their illness within 1 month of presentation. Injection of silicone can lead to serious pulmonary complications but treatment with steroids seems to be beneficial.

Keywords

Acute lung injuryCorticosteroidsSilicone oilsEmbolism

Copyright information

© Springer Science+Business Media, LLC 2009