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Herpes Zoster as a Differential Diagnosis for Ischemia after Facial Hyaluronic Acid Filler.
Kim, Jessica Shen Tsy Wu; Dos Santos Guadanhim, Lilia Ramos; De Barros Nunes, Gisele Jacobino; Dias Da Rocha, Marco Alexandre; Munia, Marco Antonio; Yarak, Samira.
Afiliação
  • Kim JSTW; Drs. Kim, Ramos, Jacobino, Dias da Rocha, and Yarak are with the Department of Dermatology at the Federal University of São Paulo in São Paulo, Brazil.
  • Dos Santos Guadanhim LR; Dr. Munia is with the Department of Vascular Surgery at the University of Sao Paulo in São Paulo, Brazil.
  • De Barros Nunes GJ; Drs. Kim, Ramos, Jacobino, Dias da Rocha, and Yarak are with the Department of Dermatology at the Federal University of São Paulo in São Paulo, Brazil.
  • Dias Da Rocha MA; Dr. Munia is with the Department of Vascular Surgery at the University of Sao Paulo in São Paulo, Brazil.
  • Munia MA; Drs. Kim, Ramos, Jacobino, Dias da Rocha, and Yarak are with the Department of Dermatology at the Federal University of São Paulo in São Paulo, Brazil.
  • Yarak S; Dr. Munia is with the Department of Vascular Surgery at the University of Sao Paulo in São Paulo, Brazil.
J Clin Aesthet Dermatol ; 13(12): 29-31, 2020 Dec.
Article em En | MEDLINE | ID: mdl-33488916
The use of hyaluronic acid (HA) fillers for facial rejuvenation has grown widely and is now one of the most performed noninvasive cosmetic procedures. Viral infections can occur, albeit rarely. This report describes a 65-year-old female patient with significant fat tissue loss in the malar region who developed herpes zoster after receiving HA filler for facial volumization. We performed volumization with a total of 2mL of HA in one session. Two days after the procedure, the patient began feeling mild pain in the malar region bilaterally and in the right side of the nasolabial fold. Upon physical examination, vesicles and erythema were observed. Due to the possibility of herpes zoster virus (HZV) infection, the patient was treated with valacyclovir. Ultrasonography with arterial and venous Doppler study revealed normal blood flow in the angular artery path and adequate positioning of the filler. After seven days of valacyclovir, the patient had complete resolution of the lesions. Herpes virus reactivation can be caused by direct axon damage by the needle, by tissue manipulation, and by inflammatory reaction. Herpes simplex virus (HSV) is the virus most commonly involved and its incidence does not exceed 1.45 percent of the complication cases, and HZV is even rarer. Reactivation of HZV might mimic tissue ischemia. Ultrasonography is a noninvasive, fast, and useful tool to evaluate vascular impairment and the positioning of the filler.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Diagnostic_studies Idioma: En Revista: J Clin Aesthet Dermatol Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Diagnostic_studies Idioma: En Revista: J Clin Aesthet Dermatol Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos