Invited commentary

Invited commentary This case reports refers to a case of scleroderma after uni- On the other hand, in a large study about autoimmune lateral breast augmentation in a 32-year-old patient who diseases in patients receiving silicone gel implants for started developing, five years after implantation, cutane- breast reconstruction, the incidence was the same as for ous lesions histologically compatible with the diagnosis those patients reconstructed with autogenous tissues [2]. of atrophic morphea. The authors correlated it with the implantation of the silicone filled prosthesis because pro- gression stopped after breast implant removal and also sil- References icone was found in the dermal biopsy, although they state that the cause-effect relationship cannot be clearly estab- 1. Brody GS, Conway DP, Deapen DM, Fisher JC, Hochberg MC, lished. They provide a thorough review of the possible LeRoy EC, Medsger TA, Robson MC, Shons AR, Weisman MH (1992) Consensus statement on the relationship of breast im- causes of localized breast scleroderma after silicone gel plants to connective tissue disorders. Plast Reconstr Surg implant and raise the issue of a possible relationship be- 90(6):1102±1105 tween silicone and some types of connective tissue disor- 2. Schusterman MA, Kroll SS, Reece GP, Miller MJ, Ainslie N, Ha- ders. labi S, Balch CM (1993) Incidence of autoimmune disease in pa- tients after breast reconstruction with silicone gel implants versus At the present time there is insufficient evidence to autogenous tissue: A preliminary report. Ann Plast Surg 31:1±6 state that the removal of implants will alter the course of an existing scleroderma. The American College of A. de la Fuente Rheumatology comments that the relationship between C/Pinar 15±17, 1 silicone and scleroderma, if any, is probably very rare [1]. E-28036 Madrid, Spain European Journal of Plastic Surgery Springer Journals

Invited commentary

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Copyright © 1999 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; Plastic Surgery
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