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http://searcht.netscape.com/ns/boomframe.jsp?query=silicone+children+lupus & page=\

2 & offset=1 & result_url=redir%3Fsrc%3Dwebsearch%26requestId%3D8bb0e861f183c38b%26c\

lickedItemRank%3D10%26userQuery%3Dsilicone%2Bchildren%2Blupus%26clickedItemURN%3\

Dhttp%253A%252F%252Fwww.drmyhill.co.uk%252Farticle.cfm%253Fid%253D86%26invocatio\

nType%3Dnext%26fromPage%3DNSCPNextPrev%26amp%3BampTest%3D1 & remove_url=http%3A%2F\

%2Fwww.drmyhill.co.uk%2Farticle.cfm%253Fid%253D86

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> http://searcht.netscape.com/ns/boomframe.jsp?

query=silicone+children+lupus & page=2 & offset=1 & result_url=redir%3Fsrc%

3Dwebsearch%26requestId%3D8bb0e861f183c38b%26clickedItemRank%3D10%

26userQuery%3Dsilicone%2Bchildren%2Blupus%26clickedItemURN%3Dhttp%

253A%252F%252Fwww.drmyhill.co.uk%252Farticle.cfm%253Fid%253D86%

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3D1 & remove_url=http%3A%2F%2Fwww.drmyhill.co.uk%2Farticle.cfm%253Fid%

253D86

Great link Rogene!

Again, I want to post this for posterity in case this link ever goes

dead...

Silicone Breast Implants and Injections

I have now been consulted by over 100 patients with chronic ill

health following silicone breast implants or injections. Silicone

leaks (so called " gel bleed " ) out of the implant where it is picked

up by the reticulo-endothelial cells and distributed widely

throughout the whole body. The government body responsible for

licensing silicone, the Medical Devices Agency, claims that silicone

is inert and does no harm despite this gel bleed. My clinical

experience and the scientific literature suggests otherwise.

There are many problems with implants, of which the most obvious is

infection at the time of insertion. However, the long term effects

are far more malign. This stems from the fact that silicone cannot

be broken down by any enzyme system in the body, is engulfed by

macrophages, carried to distant sites by embolisation and there it

acts as an immune adjuvant, stimulating autoimmune disorders. This

means that these patients suffer from multisystem autoimmune

disease. In particular, clinically one sees:

mixed connective tissue disease, demyelinating conditions such as MS

autoimmune endocrinopathies, vasculitis, myopathies,

- all of which eventually leads to a chronic fatigue syndrome often

including multiple chemical sensitivity My clinical impression is

that the silicone poisoned patients suffer more from pain than the

virally or OP induced CFS. I have concluded from my own observations

that silicone causes a new disease unique to silicone but resembling

other diseases.

All of these cases I have reported to the MDA. None of these cases

were reported to the MDA by either their plastic surgeon or

rheumatologist or oncologist. This simply reflects the level of

gross under-reporting of side effects.

It is well recognised that the silicone bleeds out of the implants

very readily and is widely distributed throughout the body by the

reticulo-endothelial system. Silicone leaks out as soon as the

implants are put in. I know this because the Medical Devices Agency,

which is the government body responsible for licensing these

products, tells me so. However, where we disagree is what happens to

the silicone then. The MDA maintains that it is inert, but actually

silicone is well recognised as being an immune adjuvant and I

suspect in susceptible individuals we get an inflammatory reaction

against the silicone which results in multi-system disease. The

Louisiana ruling on 19.8.97 showed that Dow Corning was developing

silicone for use as an active pharmaceutical agent at the same time

as when it was being declared " inert " .

There is no known mechanism by which silicone can be excreted from

the body. Silicone leakage is accelerated when implants rupture, of

which 50% do so by 12 years and 95% by 20 years. Most of these

ruptures are spontaneous but some follow closed capsulotomy, road

traffic accident or whatever. A recent Lancet paper November 1997)

recommends that all implants are replaced every 8 years. Silicone

leakage can be a problem locally whereby the body throws up a scar

capsule against the implant to try to prevent the silicone from

leaking. As this scar contracts this causes local hardening of the

breast, often with pain. Surgeons treat this by crushing the breast

between their hands (often with no anaesthetic!) to rupture the scar

capsule (this unproven, extremely painful procedure has been

sanitised by giving it a name: closed capsulotomy). The implant may

also be ruptured by this procedure. Once ruptured, the silicone may

migrate in a lump to the axilla and brachial plexus causing pain and

blockage of lymphatics, across the breast causing a mis- shapen

breast (one patient had to have her nipples surgically re-sited), or

down the chest wall.

Generalised effects of silicone are caused by silicone migrating via

the reticulo-endothelial system to the rest of the body and causing

inflammatory reactions wherever silicone ends up. In the brain this

causes a multiple sclerosis-like syndrome, in the body it can cause

a range of autoimmune disorders, chronic fatigue syndrome, chronic

pain and multiple chemical sensitivity.

Tests For Silicone Poisoning Prof Garry's lab in the USA

offers antibody testing. He measures the anti-polymer antibody

levels. However, this is expensive and is not specific for

siliconosis. So I rarely do this test nowadays. His address is Dept

of Microbiology and Immunology, Tulane University School of

Medicine, New Orleans, LA 70112 tel 001 504 587 2027 fax 001 504 584

1994. I can arrange the test if this is easier - I can post the kit

to the patient for the blood to be taken locally and make

arrangements to dispatch the sample to America via a courier. The

cost is & #65436;150 for the test and & #65436;20 for the transport.

I have just had an extract of silicone made up for skin testing and

am getting interesting results! This test is designed to look at the

body's immune response to silicone. The extract is a very dilute

solution (1:100) which is injected intradermally to bring up a weal

of about 7 by 7mm. Ten minutes later this is measured. A complete

non-reactor would have no growth and flattening of the weal.

Reactors show a growth in the size of the weal. A positive reaction

supports the idea that the body is reacting positively to silicone.

Again I don't know the medico-legal aspects of this test until I

have done a reasonable number including controls (i.e people who

have never been exposed to silicone). I don't see why it should not

be possible to try a desensitisation technique called neutralisation

from the test extract.For a list of practitioners, visit

www.bsaenm.org

The most sensitive test available in this country to assess the

reaction of white cells to silicone in the body is a lymphocyte

chemical sensitivity (silicone) test This just involves sending a

blood sample to Biolab in London. My clinical impression of tests

done so far is that the worst affected women have the highest levels

of sensitivity.

Treatment I have been in direct contact with Professor Radford

Shanklin from the States who has been most helpful with clinical

management. We had a long meeting at the Royal Society of Medicine

where I could pick his brains. The priority is to have the silicone

removed by a surgeon skilled in explantation. However, the problem

with explantation is that it is thought to stir up a reaction

against silicone and patients often see a worsening of their

symptoms which may last up to 3 years. Prof. Shanklin tells me that

reactions against silicone are medicated by T cells and interleukin

2. He has been trying Plaquenil 200mgs twice daily for 90 days

before surgery and believes this damps down the T cell activity and

prevents this post operative flare. Plaquenil is a standard

immunosuppressive drug used to treat rheumatoid arthritis and

systemic lupus erythematosis. It is a fairly benign drug and it is

felt that for short term treatment no special monitoring is required

although it is probably medically prudetn to check a white cell

count and eye test before and during treatment.

Explantation needs to be done by a skilled surgeon aware of the need

not to rupture the capsule inadvertently. Furthermore, the scar

capsule also needs removing because it will be impregnated with

silicone. Insist on being given the implant after surgery and don't

allow the surgeon to make up an excuse. I had one patient who was

told the implant was removed intact, but it was " scrubbed " to make

it look better and ruptured in that process, therefore it was not

available to be seen! Let's face it - you've paid for it - it

belongs to ysu!

The CFS side of things I treat in exactly the same way as I treat

all my other CFS patients with fatigue caused by viral infection or

pesticide poisoning or whatever. Namely rest, nutritional

supplements, elimination dieting, magnesium injections where

appropriate (blood test needed), B12 injections, avoiding chemicals,

etc.

Second Generation Effects There is every reason to expect silicone

to cross the placenta into the unborn child. The effects of this are

uncertain. Prof Shanklin has looked at a group of 190 women who had

babies before and after their implant. There were 127 pre-implant

children of which 100 were in good health, 27 in fair health (minor

transient problems) and none sick. This compares to 252 post-implant

children, of which 78 were in good health 81 in fair health with 93

WHO WERE MORE SERIOUSLY ILL (compares to none in the pre-implant

group!). This experience certainly accords with what I am seeing in

my patients. However, I would like to repeat this research in all my

patients and hope to attract some modest funds to allow me to do

this. I would do it myself if I had the time, but I don't. I would

need to employ somebody short term to contact women. Any volunteers?

See also: Neutralisation in FOOD ALLERGY section

Related Test

Lymphocyte Sensitivity to Silicone

Related articles

CFS Checklist - start off and check your treatment regime here

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Article No. 86

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