Evidence map›Paper›PMID 35111570›Full record

ArticleRespiratory medicine case reports2022

Recurrent Silicone Embolism Syndrome requiring VA ECMO.

Nikhil Madan, Umair Khan, Anthony Martins, Gabriela Andries, John Matthews, Vipul Patel, Gautam Visveswaran

Open access · goldAbstract readCase Reports
In one paragraph

Article in Respiratory medicine case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Nikhil MadanDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Newark Beth Israel Medical Center, Newark, NJ, 07112, USA.
Umair KhanDepartment of Medicine, Newark Beth Israel Medical Center, Newark, NJ, 07112, USA.
Anthony MartinsSt George Univeristy Medical School, Great River NY, 11739, USA.
Gabriela AndriesDivision of Cardiology, Department of Medicine, Newark Beth Israel Medical Center, Newark, NJ, 07112, USA.
John MatthewsDepartment of Neuroradiology, Newark Beth Israel Medical Center, Newark, NJ, 07112, USA.
Vipul PatelDivision of Lung Transplant, Department of Medicine, University of Maryland, Baltimore, MD, USA.
Gautam VisveswaranDivision of Cardiology, Department of Medicine, Newark Beth Israel Medical Center, Newark, NJ, 07112, USA.
Newark Beth Israel Medical Center · USSt. George's School · USUniversity of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The illegal use of liquid silicone in injectable procedures has been on the rise for the last few years. While originally thought to be an inert material, today, silicone is associated with several inflammatory complications-including Silicone Embolism Syndrome (SES). SES is the most dreaded complication of unlicensed liquid silicone injections. It is characterized by pneumonitis, diffuse alveolar and silicone pulmonary emboli leading to acute respiratory distress syndrome and cardiopulmonary failure. We present a case of a patient who was diagnosed with SES after she received unlicensed liquid silicone injections for gluteal augmentation. Her disease necessitated treatment with veno-arterial extracorporeal membrane oxygenation. Her neurological status remained poor. Our patient was also treated for SES status-post illicit silicone injections several years prior to the current episode. To our knowledge, this is the only reported instance of the same patient experiencing SES status-post illicit silicone injections on two separate occasions. Our patient's case suggests that robust education is needed for patients and the general public regarding the dangers of illicit body modifications. Given the widespread availability of counterfeit "medical grade" silicone, it is likely that the number of SES cases will continue to increase. Physicians must to be able to recognize the symptoms of SES, and not discount the possibility that patients will continue to receive illicit injections-even if they experienced devastating consequences the first time.

Indexed as

Case reportECMOSilicone embolism syndrome

Identifiers

PMID35111570
PMCPMC8790489
OpenAlexW4207077251

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.