Evidence map›Paper›PMID 41019240›Full record

ReviewWorld journal of plastic surgery2025

Clinical Characteristics of ASIA Syndrome in Patients with Silicone Breast Implants: A Scoping Review.

Ospina-Gómez Juan Esteban, Latorre-Arévalo María Gabriela, Ayala-Gutierrez María Camila, Monsalve-Suárez Edgar Felipe, Amaya-Muñoz María Camila, Caceres-Ramírez Catalina, Alviar-Rueda Juan Darío, Camacho-López Paul Anthony

Abstract readReview
In one paragraph

Review in World journal of plastic surgery, 2025. 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
–field-weighted citation impact
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.

  1. 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

8 authors.

Ospina-Gómez Juan EstebanResearch Department, FOSCAL, Floridablanca, Colombia.
Latorre-Arévalo María GabrielaResearch Department, FOSCAL, Floridablanca, Colombia.
Ayala-Gutierrez María CamilaResearch Department, FOSCAL, Floridablanca, Colombia.
Monsalve-Suárez Edgar FelipeResearch Department, FOSCAL, Floridablanca, Colombia.
Amaya-Muñoz María CamilaResearch Department, FOSCAL, Floridablanca, Colombia.
Caceres-Ramírez CatalinaResearch Department, FOSCAL, Floridablanca, Colombia.
Alviar-Rueda Juan DaríoResearch Department, FOSCAL, Floridablanca, Colombia.
Camacho-López Paul AnthonyResearch Department, FOSCAL, Floridablanca, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adjuvant-induced autoimmune syndrome (ASIA), described in 2011, includes autoimmune reactions triggered by environmental adjuvants, such as silicone breast implants (SBI). Symptoms include fatigue, sleep disturbances, appetite changes, muscle pain, fever, among others, with pathophysiology involving a combination of genetic predisposition and adjuvant exposure, leading to abnormal immune responses. We aimed to define clinical profiles and outcomes of patients with SBI, clarify ASIA's clinical implications, and guide future research. Methods: Using the PRISMA-ScR framework, a scoping review was conducted to identify clinical profiles, preexisting conditions, prosthetic anomalies, and outcomes of patients with ASIA syndrome associated with SBI. Searches were performed in Medline, Scopus, Lilacs, and Google Scholar to locate relevant studies. Results: Of 35 selected studies, 21 were case reports, 6 case series, and 8 cohort studies, identifying 848 patients, predominantly from the Netherlands (n=513), with an average age of 45-47 yr. Common medical histories included autoimmune diseases and breast cancer, while frequent implant-related anomalies were capsular contracture and rupture. Musculoskeletal symptoms and fatigue were the most prevalent, and implant explantation was the primary treatment, resulting in symptom improvement for most patients. Conclusion: This review highlights the clinical features of ASIA syndrome in patients with SBI, particularly musculoskeletal symptoms, fatigue, and the presence of positive antinuclear antibody as a potential marker. However, the relationship between SBI and ASIA remains controversial. Despite limitations in current evidence, ongoing clinical monitoring and further research are crucial to better understanding and managing ASIA syndrome in patients with SBI.

Indexed as

Adjuvant-induced autoimmune syndrome (ASIA)ASIA syndromeBreast implantsPlastic surgeryScoping review

Identifiers

PMID41019240
PMCPMC12476246

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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.