Hyaluronic acid injection-induced delayed-onset foreign body granuloma

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Hyaluronic acid injection-induced delayed-onset foreign body granuloma Chih-Huang Tseng  Journal of Dental Sciences  Volume 10, Issue 3, Pages 341-343 (September 2015) DOI: 10.1016/j.jds.2015.03.008 Copyright © 2015 Terms and Conditions

Figure 1 Clinical, histopathological, and immunostained photographs of a hyaluronic acid (HA) injection-induced foreign body granuloma. (A) Clinical photograph of the lesion showing a well-circumscribed nodule in the left mouth angle (arrows). (B, C) Histopathological microphotographs of the lesion revealing multiple duct-like structures composed of a central pool of amorphous pale basophilic materials surrounded by aggregates of epithelioid histiocytes and multinucleated giant cells in the lamina propria, submucosa, and underlying muscle layer (hematoxylin and eosin stain; original magnification: B, 10 × and C, 20 × ). (D) Immunohistochemical stain showing CD68-positive epithelioid histiocytes and multinucleated giant cells surrounding a lumen-like structure (original magnification: 20×). (E) Mucicarmine and (F) alcian blue stains demonstrating the pink- and blue-stained HA materials in the lumen-like structures (original magnification: 20×). Journal of Dental Sciences 2015 10, 341-343DOI: (10.1016/j.jds.2015.03.008) Copyright © 2015 Terms and Conditions