Case Report

Autoinflammatory/Autoimmunity Syndrome Induced By Adjuvants (ASIA) Due to Silicone Incompatibility Syndrome

Table 2

Diagnostic criteria for ASIA syndrome.

Major criteriaMinor criteria

Exposure to an external stimulus (adjuvants) before clinical manifestationsThe appearance of autoantibodies or antibodies directed to the suspected adjuvant

Appearance of “typical” clinical manifestations
 (i) Myalgia, myositis, or muscle fatigue
 (ii) Arthralgia and/or arthritis
 (iii) Chronic fatigue and sleep disturbance
 (iv) Neurological manifestations associated with demyelination
 (v) Cognitive decline and memory loss
 (vi) Pyrexia and dry mouth
 (vii) Improvement of symptoms after extraction of the inducing agent
 (viii) Positive biopsy of affected tissues
Other clinical manifestations (irritable colon syndrome)
Presence of HLA (HLA DRB1 and HLA DQB1)
Evolution of an autoimmune disease (multiple sclerosis and systemic sclerosis)