Evidence map›Paper›PMID 35588069›Full record

ArticleJournal of cosmetic dermatology2023

No association found between late-onset inflammatory adverse events after soft tissue filler injections and the adaptive immune system.

Tom S Decates, Peter J Velthuis, Renushka Jhingoerie, Susan Gibbs, Yara Bachour, Frank B Niessen

Open access · hybridAbstract read
In one paragraph

Article in Journal of cosmetic dermatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Hyaluronic Acid Fillers and ASIA Syndrome: Case Studies.Clinical, cosmetic and investigational dermatology · 2023
    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 3 institutions in 1 country.

Tom S DecatesDepartment of Dermatology, Erasmus Medical Center, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-1929-2010
Peter J VelthuisDepartment of Dermatology, Erasmus Medical Center, Rotterdam, The Netherlands.
Renushka JhingoerieDepartment of Molecular Cell Biology and Immunology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Susan GibbsDepartment of Molecular Cell Biology and Immunology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Yara BachourDepartment of Plastic Surgery, Amsterdam University Medical Centre (location VUmc), Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Frank B NiessenDepartment of Plastic Surgery, Amsterdam University Medical Centre (location VUmc), Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Amsterdam University Medical Centers · NLErasmus MC · NLAcademic Center for Dentistry Amsterdam · NL

Funding

Dutch Ministry of HealthZonMw
6 · The paper itself

Abstract

backgroundTo date, it is unknown why some individuals develop late-onset inflammatory adverse events after treatment with fillers. These events may result from various factors, including an immunological response of the adaptive immune system.

objectiveIn a pilot study, we looked for evidence that is there a relation between late-onset inflammatory adverse events and the presence of immune cells surrounding the injected filler. METHODS AND MATERIALS: We included 47 patients, of whom 20 experienced late-onset inflammatory adverse events to different fillers (inflammatory group) and 27 who did not (reference group). A biopsy was taken from the area of the adverse event. Hematoxylin-eosin staining and immunohistochemistry analysis with CD3 (T-cells) and CD68 (macrophages) on paraffin tissue sections was used to assess the biopsies.

resultsImmune cells were found in biopsies obtained from 18 of 47 patients: Nine biopsies from the inflammation group and nine from the reference group. All these 18 cases showed CD68-positive immune cells. Virtually no CD3-positive immune cells were found.

conclusionOur results indicate that there is no T-cell activity in biopsies from areas with late-onset adverse events after filler injections. The macrophages found in the biopsies are probably not responsible for the inflammatory response.

Indexed as

Cosmetic TechniquesDermal FillersHumansHyaluronic AcidImmune SystemInflammationInjectionsPilot ProjectsDermal FillersHyaluronic Acidadaptive immune systemadverse eventscosmetic dermatologyfillersoft tissue fillers

Identifiers

PMID35588069
PMCPMC10086982
OpenAlexW4280623693

What Socratic 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 Socratic graph.