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Association of occupational exposure with features of systemic sclerosis.

Identifieur interne : 000101 ( PubMed/Corpus ); précédent : 000100; suivant : 000102

Association of occupational exposure with features of systemic sclerosis.

Auteurs : Isabelle Marie ; Jean-François Menard ; Anne-Bénédicte Duval-Modeste ; Pascal Joly ; Stéphane Dominique ; Pierre Bravard ; David Noël ; Jean-François Gehanno ; Michael Bubenheim ; Jacques Benichou ; Hervé Levesque

Source :

RBID : pubmed:25582539

English descriptors

Abstract

Occupational exposure is reported as playing a substantial causative role in systemic sclerosis (SSc).

DOI: 10.1016/j.jaad.2014.11.027
PubMed: 25582539

Links to Exploration step

pubmed:25582539

Le document en format XML

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<nlm:affiliation>Department of Internal Medicine, Centre Hospitalier Universitaire (CHU) Rouen, and Institut National de la Santé et de la Recherche Biomédicale (INSERM) Unit 905, University of Rouen Institut Fédératif Multidisciplinaire sur les Peptides (IFRMP), Institute for Biochemical Research, Rouen, France. Electronic address: isabelle.marie@chu-rouen.fr.</nlm:affiliation>
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<name sortKey="Bravard, Pierre" sort="Bravard, Pierre" uniqKey="Bravard P" first="Pierre" last="Bravard">Pierre Bravard</name>
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<nlm:affiliation>Department of Dermatology, CHG Le Havre, Le Havre, France.</nlm:affiliation>
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<name sortKey="Noel, David" sort="Noel, David" uniqKey="Noel D" first="David" last="Noël">David Noël</name>
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<term>Adult</term>
<term>Aged</term>
<term>Dermatitis, Occupational (etiology)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Occupational Exposure (adverse effects)</term>
<term>Prospective Studies</term>
<term>Scleroderma, Diffuse (chemically induced)</term>
<term>Scleroderma, Systemic (chemically induced)</term>
<term>Scleroderma, Systemic (diagnosis)</term>
<term>Silicon Dioxide (adverse effects)</term>
<term>Solvents (adverse effects)</term>
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<term>Silicon Dioxide</term>
<term>Solvents</term>
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<term>Occupational Exposure</term>
</keywords>
<keywords scheme="MESH" qualifier="chemically induced" xml:lang="en">
<term>Scleroderma, Diffuse</term>
<term>Scleroderma, Systemic</term>
</keywords>
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<term>Scleroderma, Systemic</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Dermatitis, Occupational</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
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<div type="abstract" xml:lang="en">Occupational exposure is reported as playing a substantial causative role in systemic sclerosis (SSc).</div>
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<DateCreated>
<Year>2015</Year>
<Month>2</Month>
<Day>17</Day>
</DateCreated>
<DateCompleted>
<Year>2015</Year>
<Month>04</Month>
<Day>20</Day>
</DateCompleted>
<DateRevised>
<Year>2015</Year>
<Month>2</Month>
<Day>17</Day>
</DateRevised>
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<Volume>72</Volume>
<Issue>3</Issue>
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<Year>2015</Year>
<Month>Mar</Month>
</PubDate>
</JournalIssue>
<Title>Journal of the American Academy of Dermatology</Title>
<ISOAbbreviation>J. Am. Acad. Dermatol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Association of occupational exposure with features of systemic sclerosis.</ArticleTitle>
<Pagination>
<MedlinePgn>456-64</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jaad.2014.11.027</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0190-9622(14)02212-9</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Occupational exposure is reported as playing a substantial causative role in systemic sclerosis (SSc).</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">We sought to compare the characteristics of SSc in patients with and without occupational exposure to crystalline silica/solvents.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">In all, 142 patients with SSc were enrolled in this prospective study. An expert committee performed blind evaluation of occupational exposure to crystalline silica/solvents.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Patients exposed to crystalline silica more often exhibited: diffuse cutaneous SSc (P = .02), digital ulcers (P = .05), interstitial lung disease (P = .0004), myocardial dysfunction (P = .006), and cancer (P = .06). Patients exposed to solvents more frequently developed: diffuse cutaneous SSc (P = .001), digital ulcers (P = .01), interstitial lung disease (P = .02), myocardial dysfunction (P = .04), and cancer (P = .003); in addition, these patients were more frequently anti-Scl 70 positive and anticentromere negative. Under multivariate analysis, significant factors for SSc associated with exposure to silica/solvents were: male gender (odds ratio 19.31, 95% confidence interval 15.34-69.86), cancer (odds ratio 5.97, 95% confidence interval 1.55-23.01), and digital ulcers (odds ratio 2.42, 95% confidence interval 1.05-5.56).</AbstractText>
<AbstractText Label="LIMITATIONS" NlmCategory="CONCLUSIONS">The cohort originated from a single geographic region.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Occupational exposure to crystalline silica/solvents is correlated with more severe forms of SSc characterized by: diffuse cutaneous involvement, interstitial lung disease, general microangiopathy (digital ulcers and myocardial dysfunction), and association with cancer. Occupational exposure should be systematically checked in all patients with SSc, as exposed patients seem to develop more severe forms of SSc.</AbstractText>
<CopyrightInformation>Copyright © 2014 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
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<Author ValidYN="Y">
<LastName>Marie</LastName>
<ForeName>Isabelle</ForeName>
<Initials>I</Initials>
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<Affiliation>Department of Internal Medicine, Centre Hospitalier Universitaire (CHU) Rouen, and Institut National de la Santé et de la Recherche Biomédicale (INSERM) Unit 905, University of Rouen Institut Fédératif Multidisciplinaire sur les Peptides (IFRMP), Institute for Biochemical Research, Rouen, France. Electronic address: isabelle.marie@chu-rouen.fr.</Affiliation>
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</AffiliationInfo>
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</AffiliationInfo>
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