Sarcoidosis Diagnosed After September 11, 2001, Among Adults Exposed to the World Trade Center Disaster

Objective: Explore relationships between World Trade Center (WTC) exposures and sarcoidosis. Methods: Sarcoidosis has been reported after exposure to the WTC disaster. We ascertained biopsy-proven post-9/11 sarcoidosis among WTC Health Registry enrollees. Cases diagnosed after Registry enrollment we...

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Veröffentlicht in:Journal of occupational and environmental medicine 2011-09, Vol.53 (9), p.966-974
Hauptverfasser: Jordan, Hannah T., Stellman, Steven D., Prezant, David, Teirstein, Alvin, Osahan, Sukhminder S., Cone, James E.
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container_end_page 974
container_issue 9
container_start_page 966
container_title Journal of occupational and environmental medicine
container_volume 53
creator Jordan, Hannah T.
Stellman, Steven D.
Prezant, David
Teirstein, Alvin
Osahan, Sukhminder S.
Cone, James E.
description Objective: Explore relationships between World Trade Center (WTC) exposures and sarcoidosis. Methods: Sarcoidosis has been reported after exposure to the WTC disaster. We ascertained biopsy-proven post-9/11 sarcoidosis among WTC Health Registry enrollees. Cases diagnosed after Registry enrollment were included in a nested case-control study. Controls were matched to cases on age, sex, race or ethnicity, and eligibility group (eg, rescue or recovery worker). Results: We identified 43 cases of post-9/11 sarcoidosis. Twenty-eight incident cases and 109 controls were included in the casecontrol analysis. Working on the WTC debris pile was associated with sarcoidosis (odds ratio 9.1, 95% confidence interval 1.1 to 74.0), but WTC dust cloud exposure was not (odds ratio 1.0, 95% confidence interval 0.4 to 2.8). Conclusions: Working on the WTC debris pile was associated with an elevated risk of post-9/11 sarcoidosis. Occupationally exposed workers may be at increased risk.
doi_str_mv 10.1097/JOM.0b013e31822a3596
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Methods: Sarcoidosis has been reported after exposure to the WTC disaster. We ascertained biopsy-proven post-9/11 sarcoidosis among WTC Health Registry enrollees. Cases diagnosed after Registry enrollment were included in a nested case-control study. Controls were matched to cases on age, sex, race or ethnicity, and eligibility group (eg, rescue or recovery worker). Results: We identified 43 cases of post-9/11 sarcoidosis. Twenty-eight incident cases and 109 controls were included in the casecontrol analysis. Working on the WTC debris pile was associated with sarcoidosis (odds ratio 9.1, 95% confidence interval 1.1 to 74.0), but WTC dust cloud exposure was not (odds ratio 1.0, 95% confidence interval 0.4 to 2.8). Conclusions: Working on the WTC debris pile was associated with an elevated risk of post-9/11 sarcoidosis. Occupationally exposed workers may be at increased risk.</description><identifier>ISSN: 1076-2752</identifier><identifier>EISSN: 1536-5948</identifier><identifier>DOI: 10.1097/JOM.0b013e31822a3596</identifier><identifier>PMID: 21860326</identifier><identifier>CODEN: JOEMFM</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins</publisher><subject>Adult ; Adults ; Biological and medical sciences ; Case-Control Studies ; Disasters ; Dust ; Environmental Exposure - adverse effects ; Female ; Human exposure ; Humans ; Male ; Medical diagnosis ; Medical sciences ; Middle Aged ; New York City - epidemiology ; Occupational Diseases - epidemiology ; Occupational Exposure - adverse effects ; Occupational health ; ORIGINAL ARTICLES ; Registries ; Rescue Work ; Risk Factors ; Sarcoidosis ; Sarcoidosis - epidemiology ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; September 11 Terrorist Attacks</subject><ispartof>Journal of occupational and environmental medicine, 2011-09, Vol.53 (9), p.966-974</ispartof><rights>Copyright © 2011 American College of Occupational and Environmental Medicine</rights><rights>2011The American College of Occupational and Environmental Medicine</rights><rights>2015 INIST-CNRS</rights><rights>(C)2011The American College of Occupational and Environmental Medicine</rights><rights>Copyright Lippincott Williams &amp; Wilkins Sep 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5085-37050454f2c2a352cc6d17ee718414e6f48cc5c04b82aee059375dad018adc423</citedby><cites>FETCH-LOGICAL-c5085-37050454f2c2a352cc6d17ee718414e6f48cc5c04b82aee059375dad018adc423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/45009890$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/45009890$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27901,27902,57992,58225</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=24558741$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21860326$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jordan, Hannah T.</creatorcontrib><creatorcontrib>Stellman, Steven D.</creatorcontrib><creatorcontrib>Prezant, David</creatorcontrib><creatorcontrib>Teirstein, Alvin</creatorcontrib><creatorcontrib>Osahan, Sukhminder S.</creatorcontrib><creatorcontrib>Cone, James E.</creatorcontrib><title>Sarcoidosis Diagnosed After September 11, 2001, Among Adults Exposed to the World Trade Center Disaster</title><title>Journal of occupational and environmental medicine</title><addtitle>J Occup Environ Med</addtitle><description>Objective: Explore relationships between World Trade Center (WTC) exposures and sarcoidosis. Methods: Sarcoidosis has been reported after exposure to the WTC disaster. We ascertained biopsy-proven post-9/11 sarcoidosis among WTC Health Registry enrollees. Cases diagnosed after Registry enrollment were included in a nested case-control study. Controls were matched to cases on age, sex, race or ethnicity, and eligibility group (eg, rescue or recovery worker). Results: We identified 43 cases of post-9/11 sarcoidosis. Twenty-eight incident cases and 109 controls were included in the casecontrol analysis. Working on the WTC debris pile was associated with sarcoidosis (odds ratio 9.1, 95% confidence interval 1.1 to 74.0), but WTC dust cloud exposure was not (odds ratio 1.0, 95% confidence interval 0.4 to 2.8). Conclusions: Working on the WTC debris pile was associated with an elevated risk of post-9/11 sarcoidosis. Occupationally exposed workers may be at increased risk.</description><subject>Adult</subject><subject>Adults</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Disasters</subject><subject>Dust</subject><subject>Environmental Exposure - adverse effects</subject><subject>Female</subject><subject>Human exposure</subject><subject>Humans</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>New York City - epidemiology</subject><subject>Occupational Diseases - epidemiology</subject><subject>Occupational Exposure - adverse effects</subject><subject>Occupational health</subject><subject>ORIGINAL ARTICLES</subject><subject>Registries</subject><subject>Rescue Work</subject><subject>Risk Factors</subject><subject>Sarcoidosis</subject><subject>Sarcoidosis - epidemiology</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. 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Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</topic><topic>September 11 Terrorist Attacks</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jordan, Hannah T.</creatorcontrib><creatorcontrib>Stellman, Steven D.</creatorcontrib><creatorcontrib>Prezant, David</creatorcontrib><creatorcontrib>Teirstein, Alvin</creatorcontrib><creatorcontrib>Osahan, Sukhminder S.</creatorcontrib><creatorcontrib>Cone, James E.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><jtitle>Journal of occupational and environmental medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jordan, Hannah T.</au><au>Stellman, Steven D.</au><au>Prezant, David</au><au>Teirstein, Alvin</au><au>Osahan, Sukhminder S.</au><au>Cone, James E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sarcoidosis Diagnosed After September 11, 2001, Among Adults Exposed to the World Trade Center Disaster</atitle><jtitle>Journal of occupational and environmental medicine</jtitle><addtitle>J Occup Environ Med</addtitle><date>2011-09</date><risdate>2011</risdate><volume>53</volume><issue>9</issue><spage>966</spage><epage>974</epage><pages>966-974</pages><issn>1076-2752</issn><eissn>1536-5948</eissn><coden>JOEMFM</coden><abstract>Objective: Explore relationships between World Trade Center (WTC) exposures and sarcoidosis. 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Occupationally exposed workers may be at increased risk.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>21860326</pmid><doi>10.1097/JOM.0b013e31822a3596</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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source Jstor Complete Legacy; MEDLINE; Journals@Ovid Complete
subjects Adult
Adults
Biological and medical sciences
Case-Control Studies
Disasters
Dust
Environmental Exposure - adverse effects
Female
Human exposure
Humans
Male
Medical diagnosis
Medical sciences
Middle Aged
New York City - epidemiology
Occupational Diseases - epidemiology
Occupational Exposure - adverse effects
Occupational health
ORIGINAL ARTICLES
Registries
Rescue Work
Risk Factors
Sarcoidosis
Sarcoidosis - epidemiology
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
September 11 Terrorist Attacks
title Sarcoidosis Diagnosed After September 11, 2001, Among Adults Exposed to the World Trade Center Disaster
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