Literature DB >> 8639169

Cigarette smoking increases the risk of rheumatoid arthritis. Results from a nationwide study of disease-discordant twins.

A J Silman1, J Newman, A J MacGregor.   

Abstract

OBJECTIVE: To test the hypothesis that cigarette smoking is associated with susceptibility to rheumatoid arthritis (RA) by comparing smoking history between twins with RA and their unaffected co-twins.
METHODS: Interview questionnaires on smoking history were administered to 79 identical (monozygotic [MZ]) and 71 same-sex nonidentical (dizygotic, [DZ]) twin pairs who were discordant for RA, recruited from the Arthritis and Rheumatism Council Twin Study. Results were expressed as odds ratios (OR) with 95% confidence intervals (95% CI).
RESULTS: Although most twin pairs were concordant for smoking history, there was a strong association between ever smoking and RA in the MZ pairs (OR 12.0, 95% CI 1.78-513), with a similar trend observed in the DZ pairs (OR 2.5, 95% CI 0.92-7.87).
CONCLUSION: The discordance in cigarette smoking history for individuals who are at presumed identical genetic risk for RA supports other data suggesting the role of smoking in disease susceptibility.

Entities:  

Mesh:

Year:  1996        PMID: 8639169     DOI: 10.1002/art.1780390504

Source DB:  PubMed          Journal:  Arthritis Rheum        ISSN: 0004-3591


  97 in total

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2.  Associations of cigarette smoking with rheumatoid arthritis in African Americans.

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7.  Smoking history, alcohol consumption, and systemic lupus erythematosus: a case-control study.

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Review 8.  Pre-rheumatoid arthritis: predisposition and transition to clinical synovitis.

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9.  Risk of cancer among rheumatoid arthritis patients in California.

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10.  Extra-articular disease manifestations in rheumatoid arthritis: incidence trends and risk factors over 46 years.

Authors:  C Turesson; W M O'Fallon; C S Crowson; S E Gabriel; E L Matteson
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