ASIA syndrome after hyaluronic acid fillers

Question

I had ellanse and teoxane cheek filler a year ago a few weeks later I developed one nodule on my cheek, it would go away and another will form. A couple months later I had lip filler and a couple hours later started shivering with night sweats and extreme fatigue. 9 months on the sweats are still there and I have fatigue. Do I have ASIA syndrome? I am under lots of consultants who currently have no answers. What is the best steps/ tests for a diagnosis?

Anna Chacon, MD, FAAD · Answer

ASIA syndrome (Autoimmune/Inflammatory Syndrome Induced by Adjuvants) is a proposed condition characterized by various autoimmune-like symptoms following exposure to adjuvants, such as those found in vaccines, implants, and fillers. However, it is important to note that ASIA syndrome is still a controversial and not universally accepted diagnosis within the medical community.

Given your symptoms following hyaluronic acid fillers, here are some steps you might consider:

Consult with a Specialist: It may be helpful to see a rheumatologist or an immunologist who has experience with autoimmune conditions and can provide a more thorough evaluation of your symptoms in the context of ASIA syndrome.

Comprehensive Evaluation: Ensure that your healthcare providers conduct a comprehensive evaluation to rule out other potential causes for your symptoms, such as infections, other autoimmune diseases, or reactions to the filler itself.

Blood Tests: Your doctor might order a series of blood tests to check for markers of inflammation, autoimmune activity, and other relevant factors that could help in diagnosing or ruling out ASIA syndrome.

Monitor and Document Symptoms: Keep a detailed record of your symptoms, including their onset, duration, and any potential triggers or alleviating factors. This information can be invaluable for your healthcare providers.

Consider a Second Opinion: If you feel that you are not getting answers, seeking a second opinion from another specialist might provide additional insights or alternative approaches to your diagnosis and treatment.

It's important to work closely with your healthcare team to explore all potential causes and treatment options. If you have further questions or need more specific guidance, please feel free to ask.

ASIA syndrome after hyaluronic acid fillers

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