Autoimmune/Inflammatory Syndrome Induced by Adjuvants (ASIA) in Breast Implants: A Case Report

Autoimmune/inflammatory syndrome induced by adjuvant (ASIA) encompasses all conditions capable of triggering systemic inflammatory processes due to the use of adjuvant materials, including the use of breast implants in plastic surgery procedures. These conditions typically cause symptoms such as pain, redness, erythema, or capsular contracture and ultimately lead to the removal of these materials, resulting in subsequent clinical improvement. We report the case of a 32-year-old woman with a history of autoimmune disease (Evans syndrome) who underwent breast implant placement and subsequently developed clinical features consistent with ASIA, accompanied by thrombocytopenia. Both clinical symptoms and laboratory parameters improved following explantation of the implants.