Resolution of Psoriatic Arthritis After Breast Implant Removal

Breast Implant Illness (BII) is a complex condition characterized by various systemic symptoms, often linked to autoimmune responses. This case report presents a unique instance of new-onset psoriatic arthritis (PsA) in a 43-year-old woman with a history of autoimmune disorders, which resolved entirely following the removal of her breast implants. The patient’s PsA symptoms, including joint pain, onycholysis, and fatigue, manifested 3-4 months after undergoing saline breast implantation. Despite the use of multiple disease-modifying antirheumatic drugs (DMARDs), her symptoms persisted until the breast implants were removed, after which she experienced complete resolution, obviating the need for further biologic therapy. The precise mechanisms linking BII to autoimmune disorders are not well understood, but chronic inflammation triggered by breast implants as foreign bodies, silicone and platinum leaching, and the formation of biofilms have been proposed as potential contributors. This case is particularly noteworthy as the first documented instance of new-onset PsA directly associated with breast implants. While previous studies have established connections between breast implants