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[Hashimoto's thyroiditis and silicone breast implants: 2 cases]

M Vayssairat1, M Mimoun, B Houot

  • 1Hôpital Tenon, Paris.

Journal Des Maladies Vasculaires
|July 1, 1997
PubMed
Summary

This study reports two rare cases of Hashimoto's thyroiditis (HT) in women with silicone gel-filled breast implants (SBIs). Further research is needed to explore the potential association between SBIs and HT development.

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Area of Science:

  • Immunology
  • Endocrinology
  • Rheumatology

Background:

  • The association between silicone gel-filled breast implants (SBIs) and connective tissue diseases (CTDs) remains a subject of ongoing research, with most studies showing no significant link.
  • However, a subset of patients report developing CTDs following SBI implantation, prompting continued investigation into potential adverse effects.

Observation:

  • This report details two distinct cases of women diagnosed with Hashimoto's thyroiditis (HT), a form of autoimmune thyroiditis, after receiving bilateral cosmetic SBIs.
  • The first patient developed HT, thyroid deficiency, fatigue, arthralgia, and sicca syndrome post-implantation, with laboratory findings including high antinuclear and anti-thyroid microsomal antibodies.
  • The second patient presented with HT, thyroid gland pain, mild hyperthyroidism, and positive antithyroglobulin antibodies, followed by positive antinuclear antibodies after implant-related pain recurrence.

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Findings:

  • Both patients exhibited clinical and serological evidence of Hashimoto's thyroiditis in conjunction with a history of SBIs.
  • Microscopic examination of explanted SBIs revealed dense connective tissue and fibrosis in one case.
  • The temporal association suggests a possible, though not definitively proven, link between SBIs and the onset of HT in these individuals.

Implications:

  • These cases highlight a rare but potential association between silicone gel-filled breast implants and the development of Hashimoto's thyroiditis.
  • While a causal relationship cannot be established from these two cases alone, they underscore the importance of considering autoimmune thyroiditis in patients presenting with symptoms after SBI placement.
  • Further epidemiological studies are warranted to investigate the potential link between SBIs and autoimmune thyroid diseases like HT.