<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-8123</journal-id>
<journal-title><![CDATA[Revista Colombiana de Reumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev.Colomb.Reumatol.]]></abbrev-journal-title>
<issn>0121-8123</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Reumatología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-81232024000300380</article-id>
<article-id pub-id-type="doi">10.1016/j.rcreu.2023.09.004</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[ASIA syndrome (autoimmune/inflammatory syndrome induced by adjuvants): Narrative literature review]]></article-title>
<article-title xml:lang="es"><![CDATA[Síndrome de ASIA (autoinmune/inflamatorio inducido por los adyuvantes): revisión narrativa de la literatura]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres-Saavedra]]></surname>
<given-names><![CDATA[Fabio Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León-Sierra]]></surname>
<given-names><![CDATA[Lina Paola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rondón-Carvajal]]></surname>
<given-names><![CDATA[Julián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Colombia Departamento de Medicina Interna Facultad de Medicina]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Antioquia Departamento de Medicina Interna Facultad de Medicina]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Antioquia Grupo de Reumatología (GRUA Facultad de Medicina]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<volume>31</volume>
<numero>3</numero>
<fpage>380</fpage>
<lpage>389</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-81232024000300380&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-81232024000300380&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-81232024000300380&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Adjuvant-induced autoimmune/inflammatory syndrome (ASIA) comprises a spectrum of clinical manifestations associated with exposure to diverse adjuvants that have in common the generation of non-specific autoantibodies and loss of immune tolerance. Objective: This study aimed to develop a narrative review of the literature about the patho genesis underlying ASIA syndrome, its differentiation from other defined autoimmune diseases, and prospects for future research in this field.  Materials and methods:  A narrative review of the literature was conducted using Pubmed, Embase, and LILACS. All publications on the subject were included, with no time limit in English and Spanish. Finally, 25 articles published since 1990 were included, from which we reviewed the pathogenesis, diagnostic criteria, and its differentiation from other defined autoimmune processes.  Results:  The appearance of ASIA syndrome seems to be linked to an individual's genetic predisposition (HLA-DRB1*01 or HLA-DRB4) and is the result of the interaction of external and endogenous factors that trigger autoimmune phenomena. In recent years, physicians have become more aware of the relationship between exposure to adjuvants and the devel opment of underlying signs and symptoms that may correspond to ASIA syndrome. The current evidence supporting its existence is still contradictory. A timely diagnosis requires a multidisciplinary approach and could require immunosuppressive treatment in particular cases.  Conclusions:  In recent years a relationship between exposure to adjuvants and the appear ance of autoimmunity phenomena has been recognized. In clinical practice, physicians can find cases of ASIA syndrome. However, the evidence is still debated on the relationship between adjuvants and autoimmune clinical manifestations. ASIA syndrome classification criteria require validation in various populations before being applied to select patients for clinical studies. It is necessary to identify the risk factors for ASIA syndrome to understand its pathophysiology and make a timely diagnosis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El síndrome autoinmune/inflamatorio inducido por adyuvantes (ASIA) com prende un espectro de manifestaciones clínicas asociadas con la exposición a distintos adyuvantes, los cuales tienen en común la generación de autoanticuerpos no específicos a partir de la pérdida de tolerancia inmune.  Objetivo:  El objetivo del estudio fue llevar a cabo una revisión narrativa de la literatura sobre la patogénesis que subyace al síndrome de ASIA, su diferenciación de otros procesos autoinmunes definidos y las perspectivas de la investigación futura en este campo. Materiales y métodos: Se hizo una revisión narrativa de la literatura en Pubmed, Embase y LILACS, se incluyeron todo tipo de publicaciones en el tema, sin límite de tiempo, en inglés y espafñol. Finalmente, se incluyen 25 artículos publicados desde 1990, a partir de los cuales se revisa la patogénesis, los criterios diagnósticos y su diferenciación de otros procesos autoinmunes definidos.  Resultados:  La aparición del síndrome de ASIA parece estar vinculada a una predisposición genetica individual (HLA-DRB1*01 o HLA-DRB4) y es el resultado de la interacción de factores externos y endógenos que desencadenan fenómenos de autoinmunidad. En los últimos anos, los médicos son más conscientes de la relación entre la exposición a los adyuvantes y el desarrollo de síntomas larvados en el tiempo que pueden corresponder a un síndrome de ASIA. La evidencia actual que apoya su existencia aún es controvertida. El diagnóstico oportuno requiere un enfoque multidisciplinario y podría hacer necesario un tratamiento inmunosupresor en casos particulares.  Conclusiones:  La exposición a adyuvantes y su relación con la aparición de fenómenos de autoinmunidad ha sido reconocida en los ultimos an os. En la práctica clínica pueden encon trarse casos del síndrome de ASIA, a pesar de que la evidencia que sustenta la relación entre adyuvantes y manifestaciones clínicas autoinmunes aún es debatida. Los criterios clasifi-catorios del síndrome de ASIA requieren validación en diversas poblaciones, antes de ser aplicados en la selección de pacientes para estudios clínicos. Es necesario identificar los fac tores de riesgo para el síndrome de ASIA, con el fin de comprender mejor la fisiopatología y hacer un diagnóstico oportuno.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Adjuvants]]></kwd>
<kwd lng="en"><![CDATA[Autoimmunity]]></kwd>
<kwd lng="en"><![CDATA[Autoantibodies]]></kwd>
<kwd lng="en"><![CDATA[Silicone Raynaud's phenomenon]]></kwd>
<kwd lng="es"><![CDATA[Adyuvante]]></kwd>
<kwd lng="es"><![CDATA[Autoinmunidad]]></kwd>
<kwd lng="es"><![CDATA[Autoanticuerpos]]></kwd>
<kwd lng="es"><![CDATA[Silicona Fenómeno de Raynaud]]></kwd>
</kwd-group>
</article-meta>
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