Silicone-associated rheumatic disease: an unsupported myth
1Research Service, Birmingham VA Medical Center, Ala., USA.
Plastic and Reconstructive Surgery
|April 1, 1997
Summary
Extensive research shows no link between silicone breast implants and rheumatic diseases like rheumatoid arthritis or lupus. Controlled studies confirm silicone implants do not cause chronic inflammation or connective tissue diseases.
Area of Science:
- Rheumatology and immunology
- Plastic surgery and reconstructive medicine
Background:
- Anecdotal reports suggested a link between silicone breast implants and rheumatic diseases.
- Previous concerns necessitated rigorous scientific investigation into potential associations.
Purpose of the Study:
- To evaluate the association between silicone breast implants and the development of rheumatic diseases.
- To determine if silicone implants are linked to rheumatoid arthritis, systemic lupus erythematosus, scleroderma, or atypical connective tissue disease.
- To assess the presence of chronic inflammation in patients with silicone breast implants.
Main Methods:
- Systematic review and meta-analysis of controlled studies.
- Analysis of epidemiological data and clinical outcomes.
- Immunological and inflammatory marker assessments in patient cohorts.
Main Results:
- Controlled studies found no association between silicone breast implants and rheumatoid arthritis, systemic lupus erythematosus, or scleroderma.
- Research on "atypical connective tissue disease" also showed no link to silicone implants.
- Multiple controlled studies demonstrated no evidence of chronic inflammation in women with silicone breast implants.
Conclusions:
- Silicone breast implants are not associated with the development of common rheumatic diseases.
- Current evidence refutes a link between silicone implants and atypical connective tissue disease or chronic inflammation.
- These findings should alleviate concerns for women with breast implants and their healthcare providers.
Related Concept Videos
Rous Sarcoma Virus (RSV) and Cancer
Rous Sarcoma virus or RSV was discovered by F. Peyton Rous in the year 1911 as a filterable transmissible agent that could cause tumors in chickens. He won a Nobel Prize for this discovery in 1966. His experiments clearly demonstrated that some cancers could be caused by infectious agents and led to the discovery of many more cancer-causing viruses in animals as well as humans.
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
Connective Tissue Cell Types
Connective tissue develops from the mesoderm of a developing embryo and consists of cells, fibers, and ground substance: a gel-like material containing large complexes of carbohydrates and proteins. Connective tissue was first identified as a separate tissue family in the 18th century, and Johannes Peter Muller coined the term connective tissue.
Fat cells (adipocytes), smooth muscle cells (myoblasts), and bone cells (osteoblasts) are some connective tissue cell types. Some immune system cells...
Fat cells (adipocytes), smooth muscle cells (myoblasts), and bone cells (osteoblasts) are some connective tissue cell types. Some immune system cells...
The JAK-STAT Signaling Pathway
Several cytokine receptors have tightly bound Janus kinase or JAK proteins attached at their cytosolic tail. Small signaling molecules such as cytokines, growth hormones, or prolactins bind to the cytokine receptors and initiate their dimerization. The dimerization brings the cytosolic JAKs together that trans-phosphorylate and activates each other. The activated JAKs now phosphorylate cytosolic tails of the cytokine receptors, which serve as binding sites for adaptor proteins such as SH2...
Rous Sarcoma Virus (RSV) and Cancer
Rous Sarcoma virus or RSV was discovered by F. Peyton Rous in the year 1911 as a filterable transmissible agent that could cause tumors in chickens. He won a Nobel Prize for this discovery in 1966. His experiments clearly demonstrated that some cancers could be caused by infectious agents and led to the discovery of many more cancer-causing viruses in animals as well as humans.
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
Rheumatic Heart Disease I: Introduction
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...


