Silicone Granulomas in the Setting of Acupuncture with Silicone-Coated Needles

J, Tschetter Amanda

doi:10.13188/2373-1044.1000004

J Clin Investig Dermatol

2014

DOI: 10.13188/2373-1044.1000004

|View full text |Cite

Silicone Granulomas in the Setting of Acupuncture with Silicone-Coated Needles

Tschetter Amanda J¹

Abstract: Figure 2:Histopathologic specimens under hematoxylin-eosin stain show focal attenuation of the epidermis with underlying epidermal epithelial granulomas with a prominent cuff of lymphocytes and macrophage vacuolization.Citation: Tschetter AJ, Hochwalt PC, Colleran E, Stone MS. Silicone Granulomas in the Setting of Acupuncture with Silicone-Coated Needles. J Clin Investigat Dermatol. 2014;2(1): 2.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2020

2022

Publication Types

Select...

Article2

Relationship

Self Cite0

Independent2

Authors

Journals

Cited by 2 publications

(1 citation statement)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1,3 A similar phenomenon has also been reported in relation with acupuncture needles, even several years after the procedure. 1,4,5 The diagnosis is clinically difficult to guess, especially when the involvement of silicone goes unnoticed. The differential diagnosis includes phlebitis, keloids, pathergy, and the Koebner phenomenon 3 among other less probable possibilities such as lymphomatous reactions, lichen planus, or foreign body reactions.…”

mentioning

confidence: 99%

Silicone Granulomas at the Peripheral Intravenous Cannula Puncture Site

Gil‐Pallares¹,

Vázquez‐Osorio

Pérez-Feal

et al. 2022

The American Journal of Dermatopathology

View full text Add to dashboard Cite

:Different adverse reactions to silicone present in cosmetic fillers, implants, or medical devices have been reported. The granulomatous reaction on the injection site due to catheters' silicone coating is an infrequent complication, which may be clinically difficult to suspect. Although the definitive diagnosis requires identification of the silicone with techniques such as X-ray spectroscopy, the possibility of involvement of silicone, as well as the histopathologic demonstration of granulomas with refractile, nonpolarizable, and nonstainable material strongly suggests this diagnosis. Moreover, the use of a low-diaphragm aperture or phase-contrast microscopy could be useful to demonstrate the presence of this, otherwise almost transparent, foreign body.

show abstract

mentioning

confidence: 99%

Silicone Granulomas at the Peripheral Intravenous Cannula Puncture Site

Gil‐Pallares¹,

Vázquez‐Osorio

Pérez-Feal

et al. 2022

The American Journal of Dermatopathology

View full text Add to dashboard Cite

show abstract

Periorbital Silicone Granulomatosis 30 Years after Acupuncture

Pirakitikulr

Tran

Garcia

et al. 2020

Case Reports in Ophthalmological Medicine

View full text Add to dashboard Cite

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.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Silicone Granulomas in the Setting of Acupuncture with Silicone-Coated Needles

Cited by 2 publications

References 10 publications

Silicone Granulomas at the Peripheral Intravenous Cannula Puncture Site

Silicone Granulomas at the Peripheral Intravenous Cannula Puncture Site

Periorbital Silicone Granulomatosis 30 Years after Acupuncture

Contact Info

Product

Resources

About