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September 14, 1994

Sclerodermalike Esophageal Disease in Children of Mothers With Silicone Breast Implants

Author Affiliations

Downey, Calif

JAMA. 1994;272(10):770. doi:10.1001/jama.1994.03520100031027

To the Editor.  —The Editorial by Dr Flick1 commenting on breast-feeding and silicone implants presents an intriguing example of how accurate reporting of information can be misconstrued when diluted by repetition and presented out of context. Flick questions: "Should US physicians join their European colleagues in recommending that mothers with silicone implants refrain from nursing their infants?" He references Yoshida et al.2 Yoshida et al2(p11) wrote without reference: "A potentially larger and more clinically significant problem would be the possibility of silicone-induced disease in children of mothers who nursed with silicone implants. This problem has not been addressed in the US; in Europe nursing is not recommended for mothers with implants" [emphasis added].This seemed inconsistent when all but one of the European countries permit unrestricted use of this device. On questioning, representatives of European implant manufacturers knew nothing of this ban nor did the chairman of

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