This systematic review investigates the relationship between air pollution and the development of rheumatic diseases. Employing PICO elements, the study examines existing literature, focusing on the association between air pollutants (PM2.5, PM10, SO2, NO2, CO, ozone) and the development of rheumatic diseases such as RA, JIA, and SARDs. The methodology includes a search of MEDLINE and EMBASE databases, study selection based on specific criteria, data extraction, and quality assessment using the Newcastle-Ottawa scale. The review identified eight studies for qualitative synthesis, revealing evidence supporting a link between air pollution exposure and SARDs and JIA, but lacking clear evidence for other rheumatic diseases. The study highlights gaps in evidence, suggesting further research to refine search filters, include a broader range of databases, and delve deeper into the mechanisms linking air pollution and rheumatic disease development. The report concludes by emphasizing the need for additional studies to clarify the nature of the association and establish definitive conclusions.