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August 2011

23 Aug

Buttock liquid silicone injection part 10 – medical treatment

There are other options to manage silicone granulomas and complications associated with this product. Painful granulomas have been treated with the following products:1. Steroids 2. Non-steroidal antiinflamatory drugs 3. Tetracycline 4. Immune modulating therapiesSteroids have led to improvement in the symptoms but the effects appear to be transient and the symptoms often relapse upon tapering of the dose. Both injection of the granuloma with steroids and oral steroids have been use in an attempt to control the inflammation with mix results.Non-steroidal anti-inflamatory agents have also been used and led to symptomatic improvement although also the effects appear to be transient.Now, tetracycline including family of antibiotics has led to sustained remission in several cases. These antibiotics have intrinsic anti-inflamatory and immune-modulating capabilities but long...
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23 Aug

Buttock liquid silicone injections part 9 – pneumonitis

Silicone pneumonitis is closely associated with the silicone emboli syndrome discussed in the previous blog. Silicone pneumonitis is an inflammation of the lung. Injections of silicone in the buttocks have been associated with spillage of silicone in the alveolar space after embolization which spreads to the lungs. Patients typically present several symptoms such as shortness of breath, fever, cough, and vomiting blood.There are two ways (to detect pneumonitis) how pneumonitis presents itself. Most patients present an early response usually a few days after the injections, including shortness of breath, chest pain, cough, and sometimes loss of consciousness. The second response is later after the injection, most typically after 6 months of the injection. Patients present local swelling at the injections’...
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