Video: Every Case Tells a Story| Webinar: ACR/CHEST ILD Guidelines in Practice

An official publication of the ACR and the ARP serving rheumatologists and rheumatology professionals

  • Conditions
    • Axial Spondyloarthritis
    • Gout and Crystalline Arthritis
    • Myositis
    • Osteoarthritis and Bone Disorders
    • Pain Syndromes
    • Pediatric Conditions
    • Psoriatic Arthritis
    • Rheumatoid Arthritis
    • Sjögren’s Disease
    • Systemic Lupus Erythematosus
    • Systemic Sclerosis
    • Vasculitis
    • Other Rheumatic Conditions
  • FocusRheum
    • ANCA-Associated Vasculitis
    • Axial Spondyloarthritis
    • Gout
    • Psoriatic Arthritis
    • Rheumatoid Arthritis
    • Systemic Lupus Erythematosus
  • Guidance
    • Clinical Criteria/Guidelines
    • Ethics
    • Legal Updates
    • Legislation & Advocacy
    • Meeting Reports
      • ACR Convergence
      • Other ACR meetings
      • EULAR/Other
    • Research Rheum
  • Drug Updates
    • Analgesics
    • Biologics/DMARDs
  • Practice Support
    • Billing/Coding
    • EMRs
    • Facility
    • Insurance
    • QA/QI
    • Technology
    • Workforce
  • Opinion
    • Patient Perspective
    • Profiles
    • Rheuminations
      • Video
    • Speak Out Rheum
  • Career
    • ACR ExamRheum
    • Awards
    • Career Development
  • ACR
    • ACR Home
    • ACR Convergence
    • ACR Guidelines
    • Journals
      • ACR Open Rheumatology
      • Arthritis & Rheumatology
      • Arthritis Care & Research
    • From the College
    • Events/CME
    • President’s Perspective
  • Search

Assessing Autoimmune Disease Symptoms in Silicone Breast Implant Recipients

Charles Radis, DO  |  Issue: December 2016  |  December 15, 2016

Sadly, in our consultations with silicone breast augmentation patients, rheumatologists became gatekeepers instead of allies. We did not heal, because we didn’t understand. And even if we did, our training didn’t prepare us for the emotional deluge, the unremitting pain our patients experienced.

Milly, I think, got it. She began to see a therapist again and was diagnosed with recurrent post-traumatic stress disorder. Once she understood how anger, stress and uncertainty could feed into musculoskeletal pain, she was able to keep the symptoms from overwhelming her. She decided to keep the breast implants and joined a support group for depression. I suggested that she try to swim at the local YWCA, and six months later, she proudly announced she routinely swam 30 laps every Monday, Wednesday and Friday.

ad goes here:advert-1
ADVERTISEMENT
SCROLL TO CONTINUE

I wish I could say that her symptoms melted away. They didn’t. Even with exercise, counseling and medications, she was in that gray world of neither altogether well, nor entirely symptom free. But she was better.

The last time I saw her, she told me that her husband, Stanley, was still a “good guy.” She had withdrawn from the silicone breast implant suit. And as she was leaving, she wanted me to know that she was working on forgiving the man who shot her mother. It was hard work, she said, but every day she felt a little better.

ad goes here:advert-2
ADVERTISEMENT
SCROLL TO CONTINUE

Charles Radis, DO, is clinical professor of medicine at the University of New England, College of Osteopathic Medicine and employed part time at Maine Coast Memorial Hospital in Ellsworth, Maine.

References

  1. Schleiter KE. Silicone breast implant litigation. Virtual Mentor. 2010 May 1;12(5):389–394.
  2. Kumagai Y, Shiokawa Y, Medsger TA Jr., et al. Clinical spectrum of connective tissue disease after cosmetic surgery: Observations on eighteen patients and a review of the Japanese literature. Arthritis Rheum. 1984 Jan;27(1):1–12.
  3. Carlsen W. Jury awards $7.3 million in implant case: Verdict in 1976 surgery favors Sebastopol. San Francisco Chronicle. 1991 Dec 14:A13.
  4. Angell M. Shattuck Lecture—evaluating the health risks of breast implants: The interplay of medical science, the law, and public opinion. N Engl J Med. 1996 Jun 6;334(23):1513–1518.
  5. Gabriel SE, O’Fallon WM, Kurland LT, et al. Risk of connective-tissue diseases and other disorders after breast implantation. N Engl J Med. 1994 Jun 16;330(24):1697–1702.
  6. Sanchez-Guerrero J, Colditz GA, Karlson, EW, et al. Silicone breast implants and the risk of connective-tissue diseases and symptoms. N Engl J Med. 1995 Jun 22;332(25):1666–1670.
  7. Nyrén O, Yin L, Josefsson S, et al. Risk of connective tissue disease and related disorders among women with breast implants: A nation-wide retrospective cohort study in Sweden. BMJ. 1998 Feb 7;316(7129):417–422.
  8. Hennekens CH, Lee IM, Cook NR, et al. Self-reported breast implants and connective-tissue diseases in female health professionals. A retrospective cohort study. JAMA. 1996 Feb 28;275(8):616–621.

Page: 1 2 3 4 5 6 7 8 9 10 11 12 13 | Single Page
Share: 

Filed under:ConditionsSystemic Lupus Erythematosus Tagged with:Autoimmune diseasebreast implantDiagnosisLupuspatient carephysicianrheumatologistsiliconeSLEsymptom

Related Articles
    Diagnosis Can Be Elusive for Fever of Unknown Origin

    Diagnosis Can Be Elusive for Fever of Unknown Origin

    March 15, 2016

    Settling into room 501 at Maine Medical Center, Mrs. N was on her way to the bathroom when she felt it coming on. One moment she was okay; the next, her chest felt damp and cold, even as her face flushed and her temperature spiked. Her forehead glistened beads of warm sweat. She felt the…

    ASIA: A New Way to Put the Puzzle Together

    June 13, 2011

    Autoimmune (autoinflammatory) syndrome induced by adjuvants provides a diagnostic framework for enigmatic conditions

    Bridge the Gap Between Goal and Attainment

    May 1, 2010

    Use motivational interviewing to facilitate behavior change for your clients

    His and Hers Knees

    September 1, 2008

    Do gender-specific knee implants offer clinical benefits for women?

  • About Us
  • Meet the Editors
  • Issue Archives
  • Contribute
  • Advertise
  • Contact Us
  • Copyright © 2025 by John Wiley & Sons, Inc. All rights reserved, including rights for text and data mining and training of artificial technologies or similar technologies. ISSN 1931-3268 (print). ISSN 1931-3209 (online).
  • DEI Statement
  • Privacy Policy
  • Terms of Use
  • Cookie Preferences