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Angioedema Labial e Infección Bacteriana y Viral Tras Inyección de Ácido Hialurónico
Macarena Olivares1, Victor Mercado2
1Dentistry, Instituto Chileno de Rejuvenecimiento y Optimización de Medicina Estética,, Santiago, CHL.
Cureus
|February 4, 2026
Resumen
Las reacciones graves de hipersensibilidad, como el angioedema, pueden ocurrir después de las inyecciones de ácido hialurónico (AH), particularmente en los labios. Este reporte de caso explora un paciente con angioedema labial relacionado con una infección, destacando los enfoques de diagnóstico y tratamiento.
Área de la Ciencia:
- Medicina estética
- Dermatología
- Inmunología
Sus antecedentes:
- El ácido hialurónico (AH) se usa ampliamente en medicina estética con un perfil de seguridad generalmente bueno.
- Las reacciones agudas graves de hipersensibilidad, como el angioedema, son complicaciones raras pero graves de las inyecciones de AH.
- El angioedema labial es la presentación más frecuente reportada, aunque su causa exacta sigue sin estar clara.
Objetivo del estudio:
- Presentar un caso de angioedema labial tras inyección de ácido hialurónico.
- Investigar posibles factores contribuyentes, incluidas infecciones virales y bacterianas concurrentes.
- Describir el estudio diagnóstico, las intervenciones terapéuticas y el resultado clínico.
Principales métodos:
- Reporte de caso detallando un paciente con angioedema labial posterior a la inyección de AH.
- Presentación clínica y evaluación diagnóstica.
- Revisión de las etiologías propuestas para el angioedema inducido por AH.
Principales resultados:
- El paciente presentó hinchazón y dolor labial inmediatos después de la inyección de AH.
- El angioedema se asoció clínicamente con infecciones virales y bacterianas coexistentes.
- El manejo exitoso implicó un enfoque terapéutico descrito.
Conclusiones:
- El angioedema es un evento adverso raro pero significativo asociado con los rellenos de ácido hialurónico.
- Las infecciones concurrentes pueden desempeñar un papel en el desarrollo del angioedema inducido por AH.
- El diagnóstico y manejo apropiados y rápidos son cruciales para resultados favorables en estos casos.
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