Case reference number (b)(4) is a spontaneous report sent on 26-aug-2020 by a physician which refers to a patient (unspecified demographics).No information about medical history, concomitant medication, history of allergies or previous filler treatments has been provided.On an unknown date, the patient received treatment with durolane (lot unknown) to knee joint (bilaterally) with unknown needle and unknown technique.Soon after (not specified) the patient experienced discoloration(injection site discolouration), necrosis of the skin(injection site necrosis), pain(injection site pain) and swelling(injection site swelling).The patient contacted another physician other than the injecting physician.Not able to identify the lot number due to no access to injecting provider.Outcome at the time of the report: necrosis of the skin was not recovered/not resolved.Discoloration was not recovered/not resolved.Pain was not recovered/not resolved.Swelling was not recovered/not resolved.
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