{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:48Z","timestamp":1753877208526,"version":"3.41.2"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2023,5,19]],"date-time":"2023-05-19T00:00:00Z","timestamp":1684454400000},"content-version":"vor","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Guillain Barre syndrome (GBS) as a complication of hyaluronic acid (HA) exposure is an extremely rare occurrence. We report a case of GBS, acute motor sensory axonal neuropathy (AMSAN) variant, after a HA breast enhancement procedure. A 41-year-old lady underwent a HA breast enhancement procedure from an unlicensed beautician and developed anaphylaxis followed by bilateral breast abscess and neurological deficits involving both motor and sensory components. The AMSAN variant of GBS was diagnosed from the cytoalbuminologic dissociation and nerve conduction study. Her GBS and breast abscess were managed with plasmapheresis and bilateral mastectomy. In this case, GBS was highly suspected to be caused by HA with possible impurities. To the author\u2019s knowledge, the association between HA and GBS has not been reported or known, and further studies are required to establish this association. To prevent mortality and morbidity, breast enhancement procedures should be performed by trained professionals with properly vetted products.<\/jats:p>","DOI":"10.1093\/jscr\/rjad254","type":"journal-article","created":{"date-parts":[[2023,5,19]],"date-time":"2023-05-19T18:13:52Z","timestamp":1684520032000},"source":"Crossref","is-referenced-by-count":2,"title":["A case of acute motor sensory axonal neuropathy variant of Guillain Barre syndrome and anaphylaxis reaction as a complication from hyaluronic acid breast enhancement from an unlicensed beautician"],"prefix":"10.1093","volume":"2023","author":[{"given":"Yuki Julius","family":"Ng","sequence":"first","affiliation":[{"name":"Department of General Surgery, Sarawak General Hospital , Kuching , Malaysia"},{"name":"International Student Surgical Network , Kuala Lumpur , Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Ling","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Sarawak General Hospital , Kuching , Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loke Jian","family":"Nam","sequence":"additional","affiliation":[{"name":"International Student Surgical Network , Kuala Lumpur , Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priscamy Siaman","family":"Tylors","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Sarawak General Hospital , Kuching , Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aminnur Hafiz","family":"Bin Maliki","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Sarawak General Hospital , Kuching , Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharifah Ashrina","family":"Wan Ali","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Sarawak General Hospital , Kuching , Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,5,17]]},"reference":[{"key":"2023051918105342700_ref1","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.jpra.2019.10.003","article-title":"Use of hyaluronic acid filler for enhancement of nipple projection following breast reconstruction: an easy and effective technique","volume":"23","author":"Sue","year":"2020","journal-title":"JPRAS Open"},{"key":"2023051918105342700_ref2","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.jdds.2016.01.001","article-title":"Complications of hyaluronic acid fillers and their managements","volume":"20","author":"Abduljabbar","year":"2016","journal-title":"J Derm Dermatol Surg"},{"key":"2023051918105342700_ref3","first-page":"35","article-title":"Injuries attributable to cosmetic procedures performed by unlicensed individuals in the United 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