Acute pulmonary complications following cosmetic hyaluronic acid dermal filler injections

Tan, Sin Nee and Huan, Nai-Chien and Hairudin, Khairee Aqil and Harun, Norra and Sivandan, Shobhana and Fauzee Andylim, Nizafaziasyida and Ibrahim, Aishah and Abdul Razak, Megat Razeem and Abdul Azih, Muhammad Naimmuddin (2025) Acute pulmonary complications following cosmetic hyaluronic acid dermal filler injections. Respirology case reports, 13 (6). pp. 1-6. ISSN 2051-3380

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Abstract

Hyaluronic acid (HA) injectable dermal filler is widely used in cosmetic procedures, but it rarely leads to pulmonary complications. We present four patients with acute pulmonary complications after HA filler injections: three with organising pneumonia and one with acute pneumonitis. All presented with dyspnoea and cough; three received bilateral breast injections, and one received both breast and buttock injections. All patients received supportive management, including oxygen therapy, corticosteroids, and empirical antibiotics, whereby three responded well, but one succumbed. Clinicians ought to be vigilant of potential life-threatening pulmonary complications related to HA filler injections, as most procedures are performed in unassuming healthcare settings where catastrophic complications are not anticipated.

Item Type:	Article (Case Report)
Uncontrolled Keywords:	cosmetic | hyaluronic acid | pulmonary complications
Subjects:	R Medicine > RC Internal medicine > RC731 Specialties of Internal Medicine-Diseases of The Respiratory System
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Internal Medicine Sultan Ahmad Shah Medical Centre (SASMEC) Kulliyyah of Medicine
Depositing User:	DR MUHAMMAD NAIMMUDDIN ABDUL AZIH
Date Deposited:	19 Aug 2025 09:06
Last Modified:	19 Aug 2025 09:06
URI:	http://irep.iium.edu.my/id/eprint/122644

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