Unusual herpes simplex virus infection mimicking foreign body reaction after cosmetic lip augmentation with expanded polytetrafluoroethylene threads.
BACKGROUND
Adverse reactions after cosmetic lip augmentation with synthetic implant materials include inflammation, infection, and extrusion of and foreign body reaction to the implant. Clinically, all of them are characterized by pain, erythema, swelling, and formation of papules and/or pustules.


OBJECTIVE
To describe an unusual herpes simplex virus infection in a 48-year-old female patient after cosmetic lip augmentation with expanded polytetrafluoroethylene threads clinically resembling a foreign body reaction.


METHODS
Case report and literature review.


RESULTS
A histopathologic examination showed no signs of a foreign body reaction. Instead, herpes simplex virus-specific DNA was demonstrated by polymerase chain reaction from lesional tissue.


CONCLUSIONS
Cosmetic lip augmentation with expanded polytetrafluoroethylene threads may be complicated by a delayed local herpes simplex virus infection clinically mimicking a foreign body reaction to the implant.
Rudolph
Christina M
CM
Department of Dermatology, Karl-Franzens-University School of Medicine, Graz, Austria. christina.rudolph@kfunigraz.ac.at
Müllegger
Robert R
RR
Schuller-Petrovic
Sanja
S
Kerl
Helmut
H
Soyer
H Peter
HP
D005260:Female; D005549:Foreign-Body Reaction / Q000175:diagnosis*; D006561:Herpes Simplex / Q000175:diagnosis*; D006801:Humans; D008046:Lip / Q000601:surgery / Q000821:virology; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D019736:Prostheses and Implants / Q000009:adverse effects*; D019651:Plastic Surgery Procedures; D018139:Simplexvirus / Q000502:physiology*; D013997:Time Factors; D014775:Virus Activation
D011138:Polytetrafluoroethylene