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10.1136/annrheumdis-2015-207704

http://scihub22266oqcxt.onion/10.1136/annrheumdis-2015-207704
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suck abstract from ncbi


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pmid26238146      Ann+Rheum+Dis 2016 ; 75 (7): 1279-84
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  • Endometriosis and the risks of systemic lupus erythematosus and rheumatoid arthritis in the Nurses Health Study II #MMPMID26238146
  • Harris HR; Costenbader KH; Mu F; Kvaskoff M; Malspeis S; Karlson EW; Missmer SA
  • Ann Rheum Dis 2016[Jul]; 75 (7): 1279-84 PMID26238146show ga
  • Objectives: The etiologies of endometriosis, systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) are all characterized by immune dysfunction. SLE and RA occur more often in women, and reproductive and hormonal factors have been shown to be related to increased risk. However, only one previous study has evaluated the temporal association between endometriosis and SLE or RA. We sought to investigate the association between laparoscopically-confirmed endometriosis and subsequently diagnosed SLE and RA. Methods: We analyzed data from the Nurses' Health Study II (n=114,453 women) over a 22-year follow-up period. Multivariable, time-varying Cox proportional hazards models were used to calculate hazard ratios (HR) and 95% confidence intervals (CI) for the association between laparoscopically-confirmed endometriosis and confirmed incident SLE or RA. Results: From 1989 to 2011, 103 incident cases of SLE and 390 cases of RA were confirmed. Laparoscopically-confirmed endometriosis was significantly associated with subsequent SLE diagnosis (HR=2.03; CI=1.17-3.51) and RA diagnosis (HR=1.41; CI=1.05-1.89). These associations were robust to adjustment for SLE or RA risk factors and for potential confounders, however, adjustment for hysterectomy and oophorectomy attenuated both relations such that they were no longer significant. No significant differences by infertility status or age (<45 years) were observed. Conclusions: Our findings suggest an association between endometriosis and risk of SLE and RA. It remains to be understood whether and how endometriosis itself, or hysterectomy or other factors associated with endometriosis, are related to risk of SLE or RA.
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