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September 14, 1994

Sclerodermalike Esophageal Disease in Children of Mothers With Silicone Breast Implants

Author Affiliations

Motherisk Program Hospital for Sick Children Toronto, Ontario

JAMA. 1994;272(10):769. doi:10.1001/jama.1994.03520100031024

To the Editor.  —Silicone breast implants have recently come under scrutiny because of the portrayal of the perceived risk associated with silicone breast implants by the media and popular press. Our interest in this subject began with inquiries to our antenatal clinic for drug and chemical risk counseling (the Motherisk Program) from individuals who were concerned about the potential effect of breast-feeding their infants while having silicone breast implants. Recent findings of sclerodermalike esophageal disease in children breast-fed by mothers with silicone breast implants1 have raised questions about whether significant amounts of silicone are excreted in milk. However, no published data are available to date.We analyzed human milk for silicon concentrations in three women: two women with silicone gel breast implants and one control woman without silicone implants. The technique of inductively coupled plasma emission spectrometry2 with a detection limit of 0.5 mg/L was used for the

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