TY - JOUR
T1 - Clustering of autoimmune diseases in patients with rosacea
AU - Egeberg, Alexander
AU - Hansen, Peter Riis
AU - Gislason, Gunnar Hilmar
AU - Thyssen, Jacob Pontoppidan
N1 - Copyright © 2015 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.
PY - 2016/4/1
Y1 - 2016/4/1
N2 - BACKGROUND: Rosacea is a common inflammatory skin condition that shares genetic risk loci with autoimmune diseases such as type 1 diabetes mellitus (T1DM) and celiac disease. A recent genomewide association study identified 90 genetic regions associated with T1DM, celiac disease, multiple sclerosis, and/or rheumatoid arthritis, respectively. However, a possible association with rosacea was not investigated.OBJECTIVE: We evaluated the association between rosacea and T1DM, celiac disease, multiple sclerosis, and rheumatoid arthritis, respectively.METHODS: We performed a population-based case-control study. A total of 6759 patients with rosacea were identified and matched with 33,795 control subjects on age, sex, and calendar time. We used conditional logistic regression to calculate crude and adjusted odds ratios (ORs) with 95% confidence intervals (CIs).RESULTS: After adjustment for smoking and socioeconomic status, patients with rosacea had significantly increased ORs for T1DM (OR 2.59, 95% CI 1.41-4.73), celiac disease (OR 2.03, 95% CI 1.35-3.07), multiple sclerosis (OR 1.65, 95% CI 1.20-2.28), and rheumatoid arthritis (OR 2.14, 95% CI 1.82-2.52). The association was mainly observed in women.LIMITATIONS: We were unable to distinguish between the different subtypes and severities of rosacea.CONCLUSIONS: Rosacea is associated with T1DM, celiac disease, multiple sclerosis, and rheumatoid arthritis, respectively, in women, whereas the association in men only reached statistical significance for rheumatoid arthritis.
AB - BACKGROUND: Rosacea is a common inflammatory skin condition that shares genetic risk loci with autoimmune diseases such as type 1 diabetes mellitus (T1DM) and celiac disease. A recent genomewide association study identified 90 genetic regions associated with T1DM, celiac disease, multiple sclerosis, and/or rheumatoid arthritis, respectively. However, a possible association with rosacea was not investigated.OBJECTIVE: We evaluated the association between rosacea and T1DM, celiac disease, multiple sclerosis, and rheumatoid arthritis, respectively.METHODS: We performed a population-based case-control study. A total of 6759 patients with rosacea were identified and matched with 33,795 control subjects on age, sex, and calendar time. We used conditional logistic regression to calculate crude and adjusted odds ratios (ORs) with 95% confidence intervals (CIs).RESULTS: After adjustment for smoking and socioeconomic status, patients with rosacea had significantly increased ORs for T1DM (OR 2.59, 95% CI 1.41-4.73), celiac disease (OR 2.03, 95% CI 1.35-3.07), multiple sclerosis (OR 1.65, 95% CI 1.20-2.28), and rheumatoid arthritis (OR 2.14, 95% CI 1.82-2.52). The association was mainly observed in women.LIMITATIONS: We were unable to distinguish between the different subtypes and severities of rosacea.CONCLUSIONS: Rosacea is associated with T1DM, celiac disease, multiple sclerosis, and rheumatoid arthritis, respectively, in women, whereas the association in men only reached statistical significance for rheumatoid arthritis.
KW - Adult
KW - Age Distribution
KW - Autoimmune Diseases
KW - Case-Control Studies
KW - Celiac Disease
KW - Cluster Analysis
KW - Comorbidity
KW - Confidence Intervals
KW - Databases, Factual
KW - Denmark
KW - Diabetes Mellitus, Type 1
KW - Female
KW - Genome-Wide Association Study
KW - Humans
KW - Incidence
KW - Logistic Models
KW - Male
KW - Middle Aged
KW - Odds Ratio
KW - Retrospective Studies
KW - Rheumatic Fever
KW - Risk Assessment
KW - Rosacea
KW - Sex Distribution
KW - Young Adult
KW - Comparative Study
KW - Journal Article
KW - Research Support, Non-U.S. Gov't
U2 - 10.1016/j.jaad.2015.11.004
DO - 10.1016/j.jaad.2015.11.004
M3 - Journal article
C2 - 26830864
SN - 0190-9622
VL - 74
SP - 667-72.e1
JO - American Academy of Dermatology. Journal
JF - American Academy of Dermatology. Journal
IS - 4
ER -