Evidence map›Paper›PMID 41097876›Full record

ArticleJournal of cosmetic dermatology2025

Adverse Reactions Following Intradermal Injection of Exosome-Based Formulations: A Case Series.

Kui Young Park

Abstract readCase Reports
In one paragraph

Article in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
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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

1 author.

Kui Young ParkDepartment of Dermatology, Chung-Ang University College of Medicine, Seoul, South Korea.ORCID https://orcid.org/0000-0001-5965-1754

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExosome-containing formulations have recently gained popularity in aesthetic dermatology because of their regenerative and anti-inflammatory properties. Although approved for topical use, intradermal injection of these cosmetic products remains off-label and unregulated in many countries, including South Korea.

aimsTo describe four cases of severe cutaneous adverse reactions following the intradermal injection of unregulated exosome-based formulations.

methodsFour adult women developed persistent erythema, nodules, granulomatous inflammation, and scarring following intradermal administration of exosome-containing products in a nonclinical setting. The clinical course, treatment, and outcomes of the patients were documented.

resultsAll the patients experienced persistent inflammatory lesions. Treatments included corticosteroids (systemic and intralesional), laser therapy, and surgical removal. The outcomes varied, with all patients experiencing incomplete resolution and residual scarring.

conclusionIntradermal injection of unapproved exosome-based formulations may cause serious and persistent cutaneous complications. This case series underscores the need for regulatory enforcement, practitioner education, and public awareness to prevent off-label use and protect patient safety in aesthetic practice.

Indexed as

Cosmetic TechniquesDermal FillersErythemaExosomesAdultCicatrixFemaleHumansInjections, IntradermalLaser TherapyMiddle AgedOff-Label UseDermal Fillersadverse reactioncosmetic injectionexosomesgranuloma

Identifiers

PMID41097876
PMCPMC12528963

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Registered trials

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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.