Evidence map›Paper›PMID 37215624›Full record

ArticleJournal of surgical case reports2023

A case of acute motor sensory axonal neuropathy variant of Guillain Barre syndrome and anaphylaxis reaction as a complication from hyaluronic acid breast enhancement from an unlicensed beautician.

Yuki Julius Ng, Aaron Ling, Loke Jian Nam, Priscamy Siaman Tylors, Aminnur Hafiz Bin Maliki, Sharifah Ashrina Wan Ali

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Allergic-Specific Immunotherapy Using InjectableAllergy, asthma & immunology research · 2025
    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

6 authors at 1 institution in 1 country.

Yuki Julius NgDepartment of General Surgery, Sarawak General Hospital, Kuching, Malaysia.
Aaron LingDepartment of General Surgery, Sarawak General Hospital, Kuching, Malaysia.
Loke Jian NamInternational Student Surgical Network , Kuala Lumpur, Malaysia.
Priscamy Siaman TylorsDepartment of General Surgery, Sarawak General Hospital, Kuching, Malaysia.
Aminnur Hafiz Bin MalikiDepartment of General Surgery, Sarawak General Hospital, Kuching, Malaysia.
Sharifah Ashrina Wan AliDepartment of General Surgery, Sarawak General Hospital, Kuching, Malaysia.
Sarawak General Hospital · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Guillain Barre syndrome (GBS) as a complication of hyaluronic acid (HA) exposure is an extremely rare occurrence. We report a case of GBS, acute motor sensory axonal neuropathy (AMSAN) variant, after a HA breast enhancement procedure. A 41-year-old lady underwent a HA breast enhancement procedure from an unlicensed beautician and developed anaphylaxis followed by bilateral breast abscess and neurological deficits involving both motor and sensory components. The AMSAN variant of GBS was diagnosed from the cytoalbuminologic dissociation and nerve conduction study. Her GBS and breast abscess were managed with plasmapheresis and bilateral mastectomy. In this case, GBS was highly suspected to be caused by HA with possible impurities. To the author's knowledge, the association between HA and GBS has not been reported or known, and further studies are required to establish this association. To prevent mortality and morbidity, breast enhancement procedures should be performed by trained professionals with properly vetted products.

Indexed as

anaphylaxisbreast enhancementGuillain Barre syndromehyaluronic acidmolecular mimicry

Identifiers

PMID37215624
PMCPMC10198645
OpenAlexW4377088070

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.