FDA Adverse Event Summary report: N

SCULPTRA

MDR report key: 1922913 · Received December 8, 2010

Report

Report Number
3003496686-2010-72754
Date Received
December 8, 2010
Report Date
December 8, 2010
Manufacturer
SANOFIAVENTIS U.S. LLC
Product Code
LMH
PMA / PMN Number
P030050
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

INITIAL INFO RECEIVED FROM A PHYSICIAN ON (B)(6) 2010: IT WAS REPORTED THAT A MALE PT WITH (B)(6), WHO HAD SEVERAL SESSION WITH POLY-L-LACTIC ACID (SCULPTRA, LOT# AND EXP DATE UNK), BEGAN TO COMPLAIN ABOUT INCREASING PAIN/PARESTHESIAS, RADIATING IN AN AREA INVOLVING THE CHIN (RIGHT SIDE) AND LOWER LIP (RIGHT SIDE). THE PAIN WOKE HIM AT NIGHT. AT FIRST, THE PT THOUGHT THIS WAS RELATED TO HIS VIGOROUS MASSAGE AND SUBSEQUENT SELF-INDUCED TRAUMA IN THE REGION OF THE MENTAL NERVE. HE SAW A NEUROLOGIST, FACIAL SURGEON, ENDODONTIST, AND AN ENT. THE PHYSICIAN REPORTED, HE HAD NOT INJECTED THE AREA OF PAIN/PARESTHESIA, ALTHOUGH, THE PT ADMITTED TO MASSAGING THAT AREA ANYWAY. EVENTUALLY, A DEEP NODULE APPEARED IN THE REGION OF THE RIGHT, MID LATERAL CHIN. A BIOPSY WAS TAKEN AND SHOWED A NON-HODGKINS LYMPHOMA THAT WAS TRACKING ALONG THE MENTAL NERVE. HE UNDERWENT CHEMOTHERAPY AND AFTER, RESUMED HIS POLY-L-LACTIC SESSIONS. THE PT REMAINS IN THE REPORTING PHYSICIAN'S CARE AND HAS PERIODIC POLY-L-LACTIC INJECTIONS. NO CONCOMITANT MEDICATIONS OR ADDITIONAL MEDICAL HISTORY REPORTED. NO FURTHER INFO REPORTED. PHARMACOVIGILANCE COMMENT: SANOFI-AVENTIS COMPANY COMMENT DATED (B)(6) 2010: NON-HODGKIN'S LYMPHOMA (NHL) WAS THE 6TH MOST COMMON CANCER IN THE (B)(6) IN 2009 AND OCCURS IN ABOUT (B)(6) NEW PTS EACH YEAR. TEN (B)(4). NERVE COMPRESSION SECONDARY TO THE NHL MODULE CAUSED THIS PT'S PAIN/PARESTHESIA AND WAS LIKELY NOT RELATED TO THE ADMINISTRATION OF POLY-L-LACTIC ACID.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SCULPTRA FACIAL FILLER LMH SANOFIAVENTIS U.S. LLC UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK Other PREV MEDS = UNK| CON MEDS = UNK