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10.1136/annrheumdis-2016-209991

http://scihub22266oqcxt.onion/10.1136/annrheumdis-2016-209991
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suck abstract from ncbi


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pmid28043998
      Ann+Rheum+Dis 2017 ; 76 (7 ): 1184-1190
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  • Presence of anticitrullinated protein antibodies in a large population-based cohort from the Netherlands #MMPMID28043998
  • van Zanten A ; Arends S ; Roozendaal C ; Limburg PC ; Maas F ; Trouw LA ; Toes REM ; Huizinga TWJ ; Bootsma H ; Brouwer E
  • Ann Rheum Dis 2017[Jul]; 76 (7 ): 1184-1190 PMID28043998 show ga
  • OBJECTIVES: To determine the prevalence of anticitrullinated protein antibodies (ACPAs) and their association with known rheumatoid arthritis (RA) risk factors in the general population. METHODS: Lifelines is a multidisciplinary prospective population-based cohort study in the Netherlands. Cross-sectional data from 40?136 participants were used. The detection of ACPA was performed by measuring anti-CCP2 on the Phadia-250 analyser with levels ?6.2?U/mL considered positive. An extensive questionnaire was taken on demographic and clinical information, including smoking, periodontal health and early symptoms of musculoskeletal disorders. RA was defined by a combination of self-reported RA, medication use for the indication of rheumatism and visiting a medical specialist within the last year. RESULTS: Of the total 40?136 unselected individuals, 401 (1.0%) had ACPA level ?6.2?U/mL. ACPA positivity was significantly associated with older age, female gender, smoking, joint complaints, RA and first degree relatives with rheumatism. Of the ACPA-positive participants, 22.4% had RA (15.2% had defined RA according to our criteria and 7.2% self-reported RA only). In participants without RA, 311 (0.8%) were ACPA-positive. In the non-RA group, older age, smoking and joint complaints remained significantly more frequently present in ACPA-positive compared with ACPA-negative participants. CONCLUSIONS: In this large population-based study, the prevalence of ACPA levels ?6.2?U/mL was 1.0% for the total group and 0.8% when excluding patients with RA. Older age, smoking and joint complaints were more frequently present in ACPA-positive Lifelines participants. To our knowledge, this study is the largest study to date on ACPA positivity in the general, mostly Caucasian population.
  • |Adolescent [MESH]
  • |Adult [MESH]
  • |Age Factors [MESH]
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Alcohol Drinking/epidemiology [MESH]
  • |Arthralgia/epidemiology/*immunology [MESH]
  • |Arthritis, Rheumatoid/epidemiology/genetics/*immunology [MESH]
  • |Autoantibodies/*immunology [MESH]
  • |Body Mass Index [MESH]
  • |Cross-Sectional Studies [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Logistic Models [MESH]
  • |Male [MESH]
  • |Menarche [MESH]
  • |Middle Aged [MESH]
  • |Multivariate Analysis [MESH]
  • |Netherlands [MESH]
  • |Parity [MESH]
  • |Peptides, Cyclic/*immunology [MESH]
  • |Periodontitis/epidemiology [MESH]
  • |Prospective Studies [MESH]
  • |Risk Factors [MESH]
  • |Sex Factors [MESH]
  • |Smoking/epidemiology [MESH]


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