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© 1994 British Society for Rheumatology

case-report

SCLERODERMA AND SILICONE BREAST IMPLANTS

H. J. ENGLERT*,, G. B. HOWE{dagger}, R. PENNY{ddagger} and P. BROOKS{ddagger}

*Royal North Shore Hospital St Leonards 2065
{dagger}Westmead Hospital Westmead 2145
{ddagger}St Vincents Hospital Darlinghurst 2010, Australia

Correspondence to: Correspondence to: H. Englert, Rheumatology Unit, Royal North Shore Hospital, St Leonards 2065, Australia.

A 43-yr-old Caucasian female presented in July 1992 with an explosive onset of diffuse scleroderma following general anaesthesia for orthopaedic surgery. Her environmental exposures included silicone breast prosthetic surgery and silica exposure, both preceding development of scleroderma. She was DR5-negative, DRw52 positive.

All currently available literature relating to breast implants and scleroderma is reviewed and the conclusion drawn that, for currently documented US data, there is no evidence to suggest that patients having had breast augmentation have rates of scleroderma higher than expected to chance alone. However the cause-effect relationship between silicone and scleroderma/other connective tissue disease requires, not just anecdotal reports, but a rigorously designed study.

KEY WORDS: Scleroderma, Silicone, Augmentation mammoplasty, Breast implantation


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Home page
 International Journal of ToxicologyHome page
S. H. Lamm
Silicone Breast Implants, Breast Cancer and Specific Connective Tissue Diseases: A Systematic Review of the Data in the Epidemiological Literature
International Journal of Toxicology, June 1, 1998; 17(4): 497 - 527.
[Abstract] [PDF]


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