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Coeliac disease and risk of sarcoidosis
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- Ludvigsson, Jonas F. (author)
- Karolinska Institutet
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- Wahlstrom, Jan (author)
- Karolinska Institutet
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- Grunewald, Johan (author)
- Karolinska Institutet
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- (creator_code:org_t)
- 2007-10-31
- 2007
- English.
- In: Sarcoidosis Vasculitis and Diffuse Lung Diseases. - Cormano : Casa Editrice Mattioli. - 1124-0490. ; 24:2, s. 121-126
- Journal article (peer-reviewed)
Abstract
Subject headings
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- BACKGROUND AND AIM: Several case reports indicate a link between coeliac disease (CD) and sarcoidosis. Our main objective was to investigate the risk of subsequent sarcoidosis in individuals with CD in a general population cohort study. A second aim was to estimate the risk of CD in individuals with prior sarcoidosis.METHODS: We used Cox proportional hazards method to calculate the risk of subsequent sarcoidosis in 14,349 individuals who had received a diagnosis of CD (1964-2003) and 69,998 age- and sex-matched individuals without a diagnosis of CD. Subjects were identified through the Swedish national Inpatient Register. Conditional logistic regression was used to study the risk of CD associated with prior sarcoidosis.RESULTS: CD was associated with an increased risk of sarcoidosis (Hazard ratio (HR) = 4.03; 95% CI = 2.32-7.00; p < 0.001), and was not notably affected by adjustment for socioeconomic index. In individuals with CD listed as the main diagnosis, the HR was 3.66 (95% CI HR = 1.80-7.45; p < 0.001). Prior sarcoidosis was associated with an increased risk of CD (Odds ratio = 3.58; 95% CI = 1.98-6.45; p < 0.001).CONCLUSION: Immune characteristics of CD may be linked to an increased risk of sarcoidosis.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- Adolescent
- Adult
- Aged
- Aged; 80 and over
- Celiac Disease/complications/*epidemiology
- Child
- Child; Preschool
- Cohort Studies
- Female
- Humans
- Infant
- Infant; Newborn
- Male
- Middle Aged
- Proportional Hazards Models
- Registries
- Risk Factors
- Sarcoidosis/complications/*epidemiology
- Sweden/epidemiology
- MEDICINE
- MEDICIN
- Cardiology
- Kardiologi
- Epidemiology
- Epidemiologi
- Epidemiologi
- Epidemiology
Publication and Content Type
- ref (subject category)
- art (subject category)
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