Das wachsende Interesse an Breast Implant Illness und dessen Einfluss
                    auf das Verhalten der Patientinnen

Adina Weitkunat; Stefan Targosinski; Benedikt Bauer; Jörg G. Grünert; Stefan Winsauer

doi:10.1055/a-1901-9041

Handchirurgie · Mikrochirurgie · Plastische Chirurgie, Table of Contents

Handchir Mikrochir Plast Chir 2022; 54(06): 489-494
DOI: 10.1055/a-1901-9041

Fallbericht

Das wachsende Interesse an Breast Implant Illness und dessen Einfluss auf das Verhalten der Patientinnen

The Emerging Interest in Breast Implant Illness and its impact on Patient Behavior

Adina Weitkunat

¹Klinik für Hand-, Plastische und Wiederherstellungschirurgie, Kantonsspital St Gallen, Sankt Gallen, Switzerland

,

Stefan Targosinski

¹Klinik für Hand-, Plastische und Wiederherstellungschirurgie, Kantonsspital St Gallen, Sankt Gallen, Switzerland

,

Benedikt Bauer

¹Klinik für Hand-, Plastische und Wiederherstellungschirurgie, Kantonsspital St Gallen, Sankt Gallen, Switzerland

,

Jörg G. Grünert

¹Klinik für Hand-, Plastische und Wiederherstellungschirurgie, Kantonsspital St Gallen, Sankt Gallen, Switzerland

,

Stefan Winsauer

¹Klinik für Hand-, Plastische und Wiederherstellungschirurgie, Kantonsspital St Gallen, Sankt Gallen, Switzerland

› Author Affiliations

Abstract

Zusammenfassung

Breast Implant Illness (BII) bezeichnet eine Reihe von unspezifischen, systemischen Symptomen, von denen angenommen wird, dass sie mit Brustimplantaten in Verbindung stehen. Zu den BII-Symptomen gehören unter anderem Müdigkeit, Haarausfall, Hautausschläge, oder chronische Schmerzen. Schlüssige Beweise für einen kausalen Zusammenhang zwischen Silikonimplantaten und BII fehlen jedoch nach wie vor. In Anbetracht der jüngsten Erkenntnisse, dass texturierte Implantate in seltenen Fällen zu einem Brustimplantat-assoziierten, anaplastischen Großzell-Lymphom (BIA-ALCL) führen können, ist ein möglicher Zusammenhang zwischen Brustimplantaten und BII denkbar und rechtfertigt weitere Untersuchungen. Wir beobachten eine steigende Anzahl von Patientinnen, die aufgrund systemischer Symptome im Zusammenhang mit Brustimplantaten Beratung und Behandlung ersuchen, was sich in einem zunehmenden Interesse in der Literatur und den sozialen Medien widerspiegelt. Das Ziel dieser Arbeit war es, das wachsende Interesse an BII zu untersuchen. Wir beschreiben die klinischen Merkmale einer Patientin, die unter Symptomen leidet, die mit BII vereinbar sind und kontextualisieren die klinische Präsentation mit der aktuellen Datenlage.

Abstract

Breast implant illness (BII) is a loosely defined term for a collection of non-specific systemic symptoms that are hypothesised to be associated with breast implants. BII symptoms include fatigue, hair loss, rashes, chronic pain, and others. However, conclusive evidence for a causal relationship between silicone implants and BII remains lacking. In the light of recent findings that textured implants can, in rare cases, lead to breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), a potential link between breast implants and BII is conceivable and justifies further investigation. We observe a growing number of patients seeking consultation and treatment for systemic symptoms related to breast implants, which is reflected in increasing interest in literature and social media. The aim of this work was to investigate the growing interest in BII. We now describe the clinical features of a patient who suffers from symptoms that are consistent with BII and contextualise clinical presentation in a review of literature and google trend analysis.

Schlüsselwörter

Brustimplantate - Soziale Medien - Mammaaugmentation - Brustchirurgie

Key words

breast implant illness - bii - silicone implant incompatibility syndrome - social media - implant removal

Full Text

References

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