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Metallosis: a new form of autoimmune/autoinflammatory syndrome induced by adjuvants syndrome (ASIA)?

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Summary:Autoimmune/autoinflammatory syndrome induced by adjuvants (ASIA) is a new entity in which exposure to an adjuvant triggers an aberrant autoimmune response. Metallosis is a rare condition characterized by the deposition and build-up of metal debris in the soft tissues of the body associated with metal-on-metal (MOM) prosthetic devices. It can present with local/systemic symptoms and signs due to a chronic inflammatory host response. The authors present the case of a 51-year-old woman with a 6-month history of systemic complaints due to intoxication with metal ions from hip metallosis. This case highlights the importance of follow-up and continuous monitoring of patients with a hip prosthesis. As this is a rare condition, a patient presenting with unspecific symptoms such as ASIA syndrome induced by metallosis requires a high level of clinical suspicion as the removal of the adjuvant can resolve the condition. Learning points: Asia syndrome is a new entity in which exposure to an adjuvant triggers an aberrant autoimmune response.Metallosis is an uncommon condition with local and systemic presentation.A high level of suspicion and close monitoring is needed in patients with vague systemic complaints.
Main Authors:Vaz, Rita Alexandra
Other Authors:Xavier, Pedro; Brito, Sergio; Dantas, Jorge; Duque, Sofia; Consciência, Jose Guimarães; Campos, Luis
Subject:ASIA syndrome Metallosis
Year:2019
Country:Portugal
Document type:article
Access type:restricted access
Associated institution:Universidade de Lisboa
Language:English
Origin:Repositório da Universidade de Lisboa
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author Vaz, Rita Alexandra
author2 Xavier, Pedro
Brito, Sergio
Dantas, Jorge
Duque, Sofia
Consciência, Jose Guimarães
Campos, Luis
author2_role author
author
author
author
author
author
author_facet Vaz, Rita Alexandra
Xavier, Pedro
Brito, Sergio
Dantas, Jorge
Duque, Sofia
Consciência, Jose Guimarães
Campos, Luis
author_role author
contributor_name_str_mv Repositório Científico de Acesso Aberto da ULisboa
country_str PT
creators_json_txt [{\"Person.name\":\"Vaz, Rita Alexandra\"},{\"Person.name\":\"Xavier, Pedro\"},{\"Person.name\":\"Brito, Sergio\"},{\"Person.name\":\"Dantas, Jorge\"},{\"Person.name\":\"Duque, Sofia\",\"Person.identifier.orcid\":\"0000-0001-9273-5650\"},{\"Person.name\":\"Consciência, Jose Guimarães\"},{\"Person.name\":\"Campos, Luis\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Repositório Científico de Acesso Aberto da ULisboa
datacite.creators.creator.creatorName.fl_str_mv Vaz, Rita Alexandra
Xavier, Pedro
Brito, Sergio
Dantas, Jorge
Duque, Sofia
Consciência, Jose Guimarães
Campos, Luis
datacite.date.Accepted.fl_str_mv 2019-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2022-08-24T14:00:51Z
datacite.date.embargoed.fl_str_mv 2022-08-24T14:00:51Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_16ec
datacite.subjects.subject.fl_str_mv ASIA syndrome
Metallosis
datacite.titles.title.fl_str_mv Metallosis: a new form of autoimmune/autoinflammatory syndrome induced by adjuvants syndrome (ASIA)?
dc.contributor.none.fl_str_mv Repositório Científico de Acesso Aberto da ULisboa
dc.creator.none.fl_str_mv Vaz, Rita Alexandra
Xavier, Pedro
Brito, Sergio
Dantas, Jorge
Duque, Sofia
Consciência, Jose Guimarães
Campos, Luis
dc.date.Accepted.fl_str_mv 2019-01-01T00:00:00Z
dc.date.available.fl_str_mv 2022-08-24T14:00:51Z
dc.date.embargoed.fl_str_mv 2022-08-24T14:00:51Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10451/54186
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv SMC media Srl
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_16ec
dc.subject.none.fl_str_mv ASIA syndrome
Metallosis
dc.title.fl_str_mv Metallosis: a new form of autoimmune/autoinflammatory syndrome induced by adjuvants syndrome (ASIA)?
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Autoimmune/autoinflammatory syndrome induced by adjuvants (ASIA) is a new entity in which exposure to an adjuvant triggers an aberrant autoimmune response. Metallosis is a rare condition characterized by the deposition and build-up of metal debris in the soft tissues of the body associated with metal-on-metal (MOM) prosthetic devices. It can present with local/systemic symptoms and signs due to a chronic inflammatory host response. The authors present the case of a 51-year-old woman with a 6-month history of systemic complaints due to intoxication with metal ions from hip metallosis. This case highlights the importance of follow-up and continuous monitoring of patients with a hip prosthesis. As this is a rare condition, a patient presenting with unspecific symptoms such as ASIA syndrome induced by metallosis requires a high level of clinical suspicion as the removal of the adjuvant can resolve the condition. Learning points: Asia syndrome is a new entity in which exposure to an adjuvant triggers an aberrant autoimmune response.Metallosis is an uncommon condition with local and systemic presentation.A high level of suspicion and close monitoring is needed in patients with vague systemic complaints.
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fulltext.url.fl_str_mv https://repositorio.ulisboa.pt/bitstreams/d9e1ba4b-66c7-4683-9a67-981eeab7bbfe/download
id ul_7ca843311b6728f71f40ea030f95370b
identifier.url.fl_str_mv http://hdl.handle.net/10451/54186
inst_facet_str urn:organizationAcronym:ul{{{_:::_}}}Universidade de Lisboa
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institution Universidade de Lisboa
instname_str Universidade de Lisboa
language eng
network_acronym_str ul
network_name_str Repositório da Universidade de Lisboa
oai_identifier_str oai:repositorio.ulisboa.pt:10451/54186
organization_str_mv urn:organizationAcronym:ul
person_str_mv Vaz, Rita Alexandra
Xavier, Pedro
Brito, Sergio
Dantas, Jorge
Duque, Sofia
Duque, Sofia
http://orcid.org/0000-0001-9273-5650
0000-0001-9273-5650
Consciência, Jose Guimarães
Campos, Luis
publishDate 2019
publisher.none.fl_str_mv SMC media Srl
repo_facet_str urn:repositoryAcronym:ul{{{_:::_}}}Repositório da Universidade de Lisboa
reponame_str Repositório da Universidade de Lisboa
repository_id_str urn:repositoryAcronym:ul
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spelling engSMC media Srlpt_PTAutoimmune/autoinflammatory syndrome induced by adjuvants (ASIA) is a new entity in which exposure to an adjuvant triggers an aberrant autoimmune response. Metallosis is a rare condition characterized by the deposition and build-up of metal debris in the soft tissues of the body associated with metal-on-metal (MOM) prosthetic devices. It can present with local/systemic symptoms and signs due to a chronic inflammatory host response. The authors present the case of a 51-year-old woman with a 6-month history of systemic complaints due to intoxication with metal ions from hip metallosis. This case highlights the importance of follow-up and continuous monitoring of patients with a hip prosthesis. As this is a rare condition, a patient presenting with unspecific symptoms such as ASIA syndrome induced by metallosis requires a high level of clinical suspicion as the removal of the adjuvant can resolve the condition. Learning points: Asia syndrome is a new entity in which exposure to an adjuvant triggers an aberrant autoimmune response.Metallosis is an uncommon condition with local and systemic presentation.A high level of suspicion and close monitoring is needed in patients with vague systemic complaints.application/pdfpt_PTMetallosis: a new form of autoimmune/autoinflammatory syndrome induced by adjuvants syndrome (ASIA)?Vaz, Rita AlexandraXavier, PedroBrito, SergioDantas, JorgePersonalDuque, SofiaDSpacehttp://dspace.org/items/1296c490-8ae2-4a78-abee-b668a0cb02a6DSpacehttp://dspace.org/items/1296c490-8ae2-4a78-abee-b668a0cb02a6DuqueSofiaORCIDhttp://orcid.org0000-0001-9273-5650Consciência, Jose GuimarãesCampos, LuisHostingInstitutionOrganizationalRepositório Científico de Acesso Aberto da ULisboae-mailmailto:repositorio@ulisboa.ptrepositorio@ulisboa.ptISSNIsPartOf2284-2594DOIIsPartOf10.12890/2019_0010342022-08-24T14:00:51Z20192019-01-01T00:00:00ZHandlehttp://hdl.handle.net/10451/54186http://purl.org/coar/access_right/c_16ecrestricted accessASIA syndromeMetallosis241310 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_16ecapplication/pdffulltexthttps://repositorio.ulisboa.pt/bitstreams/d9e1ba4b-66c7-4683-9a67-981eeab7bbfe/downloadEuropean Journal of Case Reports in Internal Medicine63
spellingShingle Metallosis: a new form of autoimmune/autoinflammatory syndrome induced by adjuvants syndrome (ASIA)?
Vaz, Rita Alexandra
ASIA syndrome
Metallosis
status SINGLETON
subject.fl_str_mv ASIA syndrome
Metallosis
title Metallosis: a new form of autoimmune/autoinflammatory syndrome induced by adjuvants syndrome (ASIA)?
title_full Metallosis: a new form of autoimmune/autoinflammatory syndrome induced by adjuvants syndrome (ASIA)?
title_fullStr Metallosis: a new form of autoimmune/autoinflammatory syndrome induced by adjuvants syndrome (ASIA)?
title_full_unstemmed Metallosis: a new form of autoimmune/autoinflammatory syndrome induced by adjuvants syndrome (ASIA)?
title_short Metallosis: a new form of autoimmune/autoinflammatory syndrome induced by adjuvants syndrome (ASIA)?
title_sort Metallosis: a new form of autoimmune/autoinflammatory syndrome induced by adjuvants syndrome (ASIA)?
topic ASIA syndrome
Metallosis
topic_facet ASIA syndrome
Metallosis
url http://hdl.handle.net/10451/54186
visible 1

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