Silicone granulomas with ulcers

Lisa R. Rothman, Randie H. Kim, Shane A. Meehan, Alisa Femia

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

We present a 42-year-old transgender woman with woody induration over her buttocks and lower extremities as well as persistent ulcers of the buttocks. The lesions developed ten years prior to her presentation and approximately five years after she received illegal silicone injections to her buttocks. Histopathologic examination was consistent with a silicone granuloma. Silicone granuloma is a not an uncommon side effect of silicone injections and more often occurs when the filler is administered by non-physician practitioners, as is the case in this patient. Ulcerative silicone granulomas, however, rarely are reported. In this case, the patient’s hemodialysis treatments, which required long periods of weight bearing on her buttocks, may have predisposed her to ulcers in this area, and the ulcers may have been in part due to poor vascular supply as well as physical pressure. Treatment of this patient is relatively challenging, owing to her multiple comorbidities that include end-stage renal disease and congestive heart failure.

Original languageEnglish (US)
Pages (from-to)36-39
Number of pages4
JournalDermatology Online Journal
Volume22
Issue number12
StatePublished - 2016

Fingerprint

Silicones
Granuloma
Buttocks
Ulcer
Transgender Persons
Injections
Weight-Bearing
Chronic Kidney Failure
Blood Vessels
Renal Dialysis
Comorbidity
Lower Extremity
Heart Failure
Pressure
Therapeutics

ASJC Scopus subject areas

  • Dermatology

Cite this

Rothman, L. R., Kim, R. H., Meehan, S. A., & Femia, A. (2016). Silicone granulomas with ulcers. Dermatology Online Journal, 22(12), 36-39.

Silicone granulomas with ulcers. / Rothman, Lisa R.; Kim, Randie H.; Meehan, Shane A.; Femia, Alisa.

In: Dermatology Online Journal, Vol. 22, No. 12, 2016, p. 36-39.

Research output: Contribution to journalArticle

Rothman, LR, Kim, RH, Meehan, SA & Femia, A 2016, 'Silicone granulomas with ulcers', Dermatology Online Journal, vol. 22, no. 12, pp. 36-39.
Rothman LR, Kim RH, Meehan SA, Femia A. Silicone granulomas with ulcers. Dermatology Online Journal. 2016;22(12):36-39.
Rothman, Lisa R. ; Kim, Randie H. ; Meehan, Shane A. ; Femia, Alisa. / Silicone granulomas with ulcers. In: Dermatology Online Journal. 2016 ; Vol. 22, No. 12. pp. 36-39.
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