Introduction:

Adjuvant-induced inflammatory autoimmune syndrome is an entity described in 2011. Its manifestations include myalgias, arthralgias, chronic fatigue and dry mouth, as well as neurological manifestations: cognitive alterations, memory loss and neurological disabilities.

Clinical case:

40-year-old female, with breast prostheses for 20 years, who in the last six months has presented: myalgias, fatigue, sensation of joint stiffness and generalized arthralgias, including cervical and lumbar spine, difficulty concentrating at work and sleep disturbances, mood changes with irritability and dyspnea when climbing stairs, increasing fatigue mainly in the pelvic extremities. Relevant laboratory studies showed vitamin D insufficiency, elevated C-reactive protein and increased erythrocyte sedimentation rate (ESR); mammography reported Baker’s type II contractures. Breast prosthesis was removed and vitamin D was prescribed, six months postoperatively, the patient was asymptomatic and underwent aerobic exercise five days a week.

Conclusion:

Silicone implants can produce ASIA syndrome in immunologically susceptible patients.