Purpose: To report a case of disseminated silicone granulomatosis presenting with ptosis, proptosis and vision loss.
Observations: A 56-year-old female presented with ptosis, proptosis, and vision loss and was noted to have palpable, erythematous masses involving the orbit, face, trunk, and body. She had a history of bilateral silicone breast implants and cosmetic facial filler injections. Orbital biopsy demonstrated non-caseating granulomas with foreign-body giant cells and vacuoles containing material consistent with silicone. Removal of the patient's breast implants and systemic immunosuppression led to dramatic granuloma regression.
Conclusions: Silicone can induce a severe, systemic inflammatory response and should be considered in the differential for facial and periorbital granulomas in patients with a history of silicone breast implants. Management of disseminated silicone granulomatosis is challenging and requires multimodal treatment with silicone removal and systemic immunomodulation.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5956674 | PMC |
| http://dx.doi.org/10.1016/j.ajoc.2018.01.037 | DOI Listing |
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