21 February 2026
: Case report
Possible ARDS Following Cosmetic Lipolysis: A Case Report Urging Caution in Aesthetic Medicine
Challenging differential diagnosis, Management of emergency care, Rare disease
Thuy Thanh Phan ABCDEF 1,2*, Anh Tu Tran B 1, Quang Minh Dinh B 1, Thi Huong Trinh B 2, Van Giap Vu ADE 1,2DOI: 10.12659/AJCR.951294
Am J Case Rep 2026; 27:e951294
Table 1 Laboratory findings at admission and during hospitalization compared with reference ranges.
| Laboratory test | Reference range | At admission (Hospital 1) | After 3 days (Hospital 2) | After 6 days (Hospital 2) | After 10 days (Hospital 2) |
|---|---|---|---|---|---|
| White blood cell count (G/L) | 4.0–10.0 | 12.4 | 8.8 | 11.2 | 13.51 |
| Neutrophils (%) | 40–70 | 83.5 | 89 | 77.5 | 80.4 |
| Hemoglobin (g/L) | 120–160 (female) | 104 | 84 | 94 | 118 |
| Procalcitonin (ng/mL) | <0.05 | 0.07 | 0.055 | 0.042 | |
| C-reactive protein (mg/L) | <5 | – | 53.2 | 2.0 | 0.7 |
| Serum albumin (g/L) | 35–50 | – | 34.1 | – | |
| D-dimer (μg/mL) | <0.5 | – | 0.47 | – | |
| BNP (pg/mL) | <100 | – | 151 | – | |
| Interleukin 6 (pg/mL) | <6.4 | – | 39.47 | – | |
| Arterial blood gas | HFNC FiO 35% | HFNC FiO 60% | Oxygen via face mask at 8 L/min | Room air | |
| pH | 7.35–7.45 | 7.44 | 7.45 | 7.47 | 7.48 |
| PaCO (mmHg) | 35–45 | 38 | 43 | 41 | 41 |
| PaO (mmHg) | 80–100 | 84 | 139 | 91 | 94 |
| HCO (mmol/L) | 22–26 | 25.5 | 29.9 | 29.8 | 30.5 |
| Lactate (mmol/L) | 0.5–2.0 | – | 1.3 | – | |
| BNP – brain natriuretic peptide; PaCO – partial pressure of carbon dioxide; PaO – partial pressure of oxygen; HCO – bicarbonate; HFNC – high-flow nasal cannula; FiO – fraction of inspired oxygen. | |||||






