Autoimmune/inflammatory syndrome induced by adjuvants (ASIA): signs and symptoms experienced by women

Signos, Síntomas y Tratamiento

Authors

DOI:

https://doi.org/10.5327/Z1414-4425202328874

Keywords:

Autoimmune diseases, Prothesis implantation, Breast implantation, Silicones, Perioperative nursing

Abstract

Objective: To identify signs and symptoms experienced by women with autoimmune/inflammatory syndrome induced by adjuvants (ASIA) due to the use of breast implants and the treatments performed. Method: Field study with a qualitative approach carried out through online interviews using the snowball technique. 13 participants were included. Results: Based on data analysis, four categories were listed: knowledge about the syndrome; signs and symptoms; treatment; and nursing care and implications. Over 120 signs and symptoms were identified, and the explant was mentioned as a definitive treatment by all interviewees. The signs and symptoms presented by the participants are in line with what is described in the literature. Conclusion: Before discovering the disease, the participants underwent treatment focused on symptom relief. After diagnosis, all women proceeded with the explant.

Author Biographies

Vania Celina Dezoti Micheletti, Universidade do Vale do Rio dos Sinos – São Leopoldo (RS), Brasil.

Enfermeira. Doutora em Ciências Pneumológicas. Professora da Escola de Saúde Unisinos. 

Aline Aparecida da Silva Pierotto, Universidade do Vale do Rio dos Sinos – São Leopoldo (RS), Brasil.

Enfermeira. Mestre em Saúde da Criança. Professora da Escola de Saúde da Unisinos. 

Karen Oliveira Rodrigues de Carvalho, Clinica de Pneumologia Campos Gerais – Ponta Grossa (PR), Brasil.

Enfermeira em Clínica de Pneumologia Campos Gerais

Maria Eduarda Pasquotto Batista, Universidade do Vale do Rio dos Sinos – São Leopoldo (RS), Brasil.

Estudante do curso de graduaçao em Enfermagem da Unisinos. 

Bruna Letícia Ramos Araújo, Universidade do Vale do Rio dos Sinos – São Leopoldo (RS), Brasil.

Enfermeira. Mestre em Enfermagem.

Patrícia Treviso, Universidade do Vale do Rio dos Sinos – São Leopoldo (RS), Brasil.

Enfermeira. Doutora em Ciências da Saúde. Professora da Escola de Saúde da Unisinos. 

References

Maldonado G, Guerrero R, Intriago M, Rios C. Autoinflammatory/autoimmunity syndrome induced by adjuvants (ASIA) due to silicone incompatibility syndrome. Case Rep Rheumatol. 2021;2021:5595739. https://doi.org/10.1155/2021/5595739 DOI: https://doi.org/10.1155/2021/5595739

Shoenfeld Y, Agmon-Levin N. ‘ASIA’ – autoimmune/inflammatory syndrome induced by adjuvants. J Autoimmun. 2011;36(1):4-8. https://doi.org/10.1016/j.jaut.2010.07.003 DOI: https://doi.org/10.1016/j.jaut.2010.07.003

Colaris MJL, Boer M, van der Hulst RR, Tervaert JWC. Two hundred cases of ASIA syndrome following silicone implants: a comparative study of 30 years and a review of current literature. Immunol Res. 2017;65(1):120-8. https://doi.org/10.1007/s12026-016-8821-y DOI: https://doi.org/10.1007/s12026-016-8821-y

Sociedade Brasileira de Cirurgia Plástica. Mitos e verdades: síndrome ASIA [Internet]. São Paulo: Sociedade Brasileira de Cirurgia Plástica, Sociedade Brasileira de Reumatologia; 2021 [acessado em 07 mar. 2022. Disponível em: http://www2.cirurgiaplastica.org.br/2021/03/25/mitos-e-verdades-sindorme-asia/

Sociedade Brasileira de Reumatologia. Sociedades Brasileiras de Reumatologia (SBR) e de Cirurgia Plástica (SBCP) promovem campanha contra desinformação acerca da “síndrome do silicone” (ASIA) [Internet]. São Paulo: Sociedade Brasileira de Reumatologia; 2021 [acessado em 07 mar. 2022]. Disponível em: https://www.reumatologia.org.br/noticias/sociedades-brasileiras-de-reumatologia-sbr-e-de-cirurgia-plastica-sbcp-promovem-campanha-contra-desinformacao-acerca-da-sindrome-do-silicone-asia/

Borba V, Malkova A, Basantsova N, Hapert G, Andreoli L, Tincani A, et al. Classical examples of the concept of the ASIA syndrome. Biomolecules. 2020;10(10):1436. https://doi.org/10.3390/biom10101436 DOI: https://doi.org/10.3390/biom10101436

Miranda RE. O explante em bloco de prótese mamária de silicone na qualidade de vida e evolução dos sintomas da síndrome ASIA. Rev Bras Cir Plást. 2020;35(4):427-31. https://dx.doi.org/10.5935/2177-1235.2020RBCP0076 DOI: https://doi.org/10.5935/2177-1235.2020RBCP0076

Bockorni BRS, Gomes AF. A amostragem em snowball (bola de neve) em uma pesquisa qualitativa no campo da administração. Revista de Ciências Empresariais da UNIPAR. 2021;22(1):107-17. https://doi.org/10.25110/receu.v22i1.8346 DOI: https://doi.org/10.25110/receu.v22i1.8346

Souza VRS, Marziale MHP, Silva GTR, Nascimento PL. Translation and validation into Brazilian Portuguese and assessment of the COREQ checklist. Acta Paul Enferm. 2021;34:eAPE02631. DOI: https://doi.org/10.37689/acta-ape/2021AO02631 DOI: https://doi.org/10.37689/acta-ape/2021AO02631

Thiry-Cherques HR. Saturação em pesquisa qualitativa: estimativa empírica de dimensionamento. PMKT. 2009;3(2):20-7.

Nascimento LCN, Souza TV, Oliveira ICS, Moraes JRMM, Aguiar RCB, Silva LF. Saturação teórica em pesquisa qualitativa: relato de experiência na entrevista com escolares. Rev Bras Enferm. 2018;71(1):243-8. https://doi.org/10.1590/0034-7167-2016-0616 DOI: https://doi.org/10.1590/0034-7167-2016-0616

Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. 14a ed. São Paulo: Hucitec; 2014

Maya AMS. Nursing care during the perioperative within the surgical context. Invest Educ Enferm. 2022;40(2):e02. https://doi.org/10.17533/udea.iee.v40n2e02 DOI: https://doi.org/10.17533/udea.iee.v40n2e02

Associação Brasileira de Enfermeiros de Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização. Diretrizes de práticas em enfermagem perioperatória e processamento de produtos para a saúde. 8a ed. São Paulo: SOBECC; 2021.

International Society of Aesthetic Plastic Surgery. Global statistics [Internet]. 2021 [acessado em 13 nov. 2022]. Disponível em: https://www.isaps.org/discover/about-isaps/global-statistics/

Pacini G, Pogna A, Pendolino M, Pizzorni C, Carmisciano L, Gotelli E, et al. Understanding the value of non-specific abnormal capillary dilatations in presence of Raynaud’s phenomenon: a detailed capillaroscopic analysis. RMD Open. 2022;8(2):e002449. https://doi.org/10.1136/rmdopen-2022-002449 DOI: https://doi.org/10.1136/rmdopen-2022-002449

Silva DNE, Gründler C, Spengler MGMT, Horimoto AMC, Machado MA, Frazão IC, et al. Autoimmune syndrome induced by adjuvants (ASIA) after silicone breast augmentation surgery. Plast Reconstr Surg Glob Open. 2017;5(9):e1487. https://doi.org/10.1097/GOX.0000000000001487 DOI: https://doi.org/10.1097/GOX.0000000000001487

Del Giacco SR, Firinu D, Piludu G, Settembrini AM, Tulli M, Pirari P, et al. Raynaud’s phenomenon and scleroderma associated with silicone gel breast implants: an example of ASIA syndrome. Eur J Inflamm. 2012;10(2):233-8. DOI: https://doi.org/10.1177/1721727X1201000209

Cavalcante JT, Caires LRS, Silva CLT, Nascimento AGF, Malheiros NS, Fernandes VL, et al. Prótese mamaria e a síndrome da ASIA: os percalços de um sonho estético. Revista Eletrônica Acervo Saúde. 2022;15(2):e9734. https://doi.org/10.25248/reas.e9734.2022 DOI: https://doi.org/10.25248/reas.e9734.2022

Santos SSN, Silva JK, Albuquerque SC, Santos VMF, Santos ACM. Fatores de risco para desenvolvimento da doença do silicone (ASIA) em mulheres. Revista de Trabalhos Acadêmicos. 2021;1(5).

Downloads

Published

2023-05-29

How to Cite

Peradotto, B., Dezoti Micheletti, V. C., da Silva Pierotto, A. A. ., Oliveira Rodrigues de Carvalho, K., Pasquotto Batista, M. E. ., Ramos Araújo, B. L. ., & Treviso, P. . (2023). Autoimmune/inflammatory syndrome induced by adjuvants (ASIA): signs and symptoms experienced by women: Signos, Síntomas y Tratamiento. Revista SOBECC, 28. https://doi.org/10.5327/Z1414-4425202328874

Issue

Vol. 28 (2023)

Section

ORIGINAL ARTICLES

License

Copyright (c) 2023 Brenda Peradotto, Vania Celina Dezoti Micheletti, Aline Aparecida da Silva Pierotto, Karen Oliveira Rodrigues de Carvalho, Maria Eduarda Pasquotto Batista, Bruna Letícia Ramos Araújo, Patrícia Treviso

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

By publishing in Revista SOBECC, authors retain the copyright of their article and agree to license their work using a Creative Commons Attribution (CC BY 4.0) International Public License, thus accepting the terms of this license. The CC BY 4.0 license allows others to distribute, remix, adapt, and create from the published article, even for commercial purposes, provided they give due credit to the creators of the work (authors of the article).

The authors grant to Revista SOBECC the right of first publication, to identify itself as the original publisher, and grant to the journal a non-exclusive license to use the work in the following ways: (1) to sell and/or distribute the article in hard copies and/or in electronic format; (2) to distribute parts and/or the entire article in order to promote the journal through the internet and other digital and printed media; (3) to record and reproduce the article in any format, including digital media.

With this license, authors can enter into separate contracts for non-exclusive distribution of the article (e.g., publishing in an institutional repository or as a book chapter), with acknowledgement of authorship and initial publication in Revista SOBECC. Authors are encouraged to publish and distribute their work online after publication in the Revista SOBECC, as this can increase the article's visibility and impact.

In line with the journal's policies, each published article will be assigned a CC BY 4.0 license, which will be visible on the abstract page and in the PDF of each article with the respective link to the license terms.