Literature DB >> 25411260

Smoking is highly associated with discoid lupus erythematosus and lupus erythematosus tumidus: analysis of 405 patients.

B C Böckle1, N T Sepp2.   

Abstract

BACKGROUND: Environmental factors appear to play a role in the pathogenesis of lupus erythematosus (LE).
OBJECTIVE: To determine the association between cigarette smoking and various types of cutaneous LE.
DESIGN: Retrospective descriptive study at a dermatology clinic of a tertiary referral hospital.
METHODS: All patients diagnosed with cutaneous and/or systemic LE from January 2000 to December 2012 at the outpatient clinic for dermatological autoimmune diseases were analyzed.
RESULTS: 405 patients were diagnosed with LE. Smokers were more common among patients with cutaneous LE, especially those with LE tumidus or discoid LE. The frequency of cigarette smokers was not significantly higher among patients with other LE-specific skin lesions and patients with systemic LE compared to the general population. Smoking at the onset of disease was associated with LE tumidus (odds ratio OR 4.5), discoid LE (OR 2.05), the male gender (OR 3.31), age < 50 years (OR 1.03), and photosensitivity (OR 2.07). LIMITATIONS: A retrospective descriptive study at a tertiary referral hospital.
CONCLUSION: Smoking is highly associated with cutaneous LE, but not systemic LE. Various risk factors appear to be involved in the pathogenesis of cutaneous and systemic LE.
© The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

Entities:  

Keywords:  Lupus erythematosus; discoid lupus erythematosus; lupus erythematosus tumidus; smoking

Mesh:

Year:  2014        PMID: 25411260     DOI: 10.1177/0961203314559630

Source DB:  PubMed          Journal:  Lupus        ISSN: 0961-2033            Impact factor:   2.911


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