Inhalants other than personal cigarette smoking and risk for developing rheumatoid arthritis.

Current Opinion in Rheumatology
Lauren C PriscoJeffrey A Sparks

Abstract

The current review summarizes the current evidence on inhalants other than personal cigarette smoking and risk for developing rheumatoid arthritis (RA). Personal cigarette smoking has been implicated as an environmental risk factor for seropositive RA, perhaps by inducing autoimmunity at pulmonary mucosa. Since many patients with RA are nonsmokers, other inhalants are being investigated as potential RA risk factors. Recent case-control and cohort studies have investigated passive cigarette smoking, air pollution, inhalant-related occupations, silica, pesticides, household environment, and allergic inhalants as inhalant exposures for RA risk. Inhalant-related occupations and silica inhalants have the most consistent evidence for associations with increased RA risk. However, most studies relied on retrospective designs and had limited ability to adjust for personal cigarette smoking or investigate associations among nonsmokers. Several inhalants other than personal cigarette smoking may be associated with increased risk for developing RA. These results support the hypothesis that inhalants, pulmonary mucosal inflammation, and RA pathogenesis may be linked. Future studies are needed to firmly establish the independence of these fi...Continue Reading

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Citations

Jan 5, 2021·Frontiers in Immunology·K Michael Pollard
Mar 19, 2021·Nature Reviews. Rheumatology·Peter A NigrovicAlberto Martini
Feb 25, 2021·Current Opinion in Rheumatology·Gregory C McDermottJeffrey A Sparks

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