Cigarette smoking and Dupuytren's contracture of the hand

Microvascular occlusion has been implicated as a possible causative factor of Dupuytren's contracture. Cigarette smoking is one of the most significant factors in the development of peripheral vasculopathy. The relationship between smoking and Dupuytren's contracture of the hand is explore...

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Veröffentlicht in:The Journal of hand surgery (American ed.) 1988-11, Vol.13 (6), p.872-874
Hauptverfasser: An, Howard S., Southworth, Stephen R., Thomas Jackson, W., Russ, Brian
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container_title The Journal of hand surgery (American ed.)
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creator An, Howard S.
Southworth, Stephen R.
Thomas Jackson, W.
Russ, Brian
description Microvascular occlusion has been implicated as a possible causative factor of Dupuytren's contracture. Cigarette smoking is one of the most significant factors in the development of peripheral vasculopathy. The relationship between smoking and Dupuytren's contracture of the hand is explored in this article. One hundred thirty-two consecutive patients who had a partial fasciectomy for treatment of Dupuytren's contracture from 1980 to 1985, were analyzed retrospectively. There were 111 males and 21 females. Ninety (68.2%) of 132 patients smoked cigarettes compared with 110 (37.2%) of 296 randomized hospitalized control patients ( p < 0.0001). Eighty (72.1%) of 111 men smoked cigarettes compared with 65 (44.2%) of 147 male control patients ( p = 0.000015). Cigarette smoking is linked statistically to Dupuytrens's disease and may be involved in its pathogenesis by producing microvascular occlusion and subsequent fibrosis and contracture or by some other mechanism.
doi_str_mv 10.1016/0363-5023(88)90262-6
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subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Diseases of the osteoarticular system
Dupuytren Contracture - etiology
Dupuytren Contracture - surgery
Female
Humans
Inflammatory joint diseases
Male
Medical sciences
Microcirculation
Middle Aged
Random Allocation
Retrospective Studies
Smoking - adverse effects
Vascular Diseases - etiology
title Cigarette smoking and Dupuytren's contracture of the hand
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