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 |
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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 & 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 & 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&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. Connective tissue diseases. Elastic tissue diseases. Vasculitis</subject><subject>September 11 Terrorist Attacks</subject><issn>1076-2752</issn><issn>1536-5948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU9v1DAQxSNERUvhGwCykBCXpoz_xfZxtS0tqKiHFnGMvPZkN0sSb-1EhW-Pt7u0Ug-Wx9LvvRnPK4p3FE4pGPXl-_WPU1gA5cipZsxyaaoXxRGVvCqlEfplrkFVJVOSHRavU1oDUElBvioOGdUVcFYdFcsbG11ofUhtImetXQ4hoSezZsRIbnAzYr_IFaUnhGX9CZn1YViSmZ-6MZHzP5sHfAxkXCH5FWLnyW20Hskch63FWZtsysWb4qCxXcK3-_u4-Pn1_HZ-WV5dX3ybz65KJ0HLkiuQIKRomNv-iDlXeaoQFdWCCqwaoZ2TDsRCM4sI0nAlvfVAtfVOMH5cfN75bmK4mzCNdd8mh11nBwxTqrUxtMrclvz4jFyHKQ55uAxxbZgGnSGxg1wMKUVs6k1sexv_1hTqbQx1jqF-HkOWfdh7T4se_aPo_94z8GkP2ORs10Q7uDY9cUJKrQR96n8furzF9Lub7jHWK7TduKoBQHBViZIBzcPkZ5kPyCx7v5Ot0xjio62QAEYb4P8A7Iam_g</recordid><startdate>201109</startdate><enddate>201109</enddate><creator>Jordan, Hannah T.</creator><creator>Stellman, Steven D.</creator><creator>Prezant, David</creator><creator>Teirstein, Alvin</creator><creator>Osahan, Sukhminder S.</creator><creator>Cone, James E.</creator><general>Lippincott Williams & Wilkins</general><general>The American College of Occupational and Environmental Medicine</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7U1</scope><scope>7U2</scope></search><sort><creationdate>201109</creationdate><title>Sarcoidosis Diagnosed After September 11, 2001, Among Adults Exposed to the World Trade Center Disaster</title><author>Jordan, Hannah T. ; Stellman, Steven D. ; Prezant, David ; Teirstein, Alvin ; Osahan, Sukhminder S. ; Cone, James E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5085-37050454f2c2a352cc6d17ee718414e6f48cc5c04b82aee059375dad018adc423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Disasters</topic><topic>Dust</topic><topic>Environmental Exposure - adverse effects</topic><topic>Female</topic><topic>Human exposure</topic><topic>Humans</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>New York City - epidemiology</topic><topic>Occupational Diseases - epidemiology</topic><topic>Occupational Exposure - adverse effects</topic><topic>Occupational health</topic><topic>ORIGINAL ARTICLES</topic><topic>Registries</topic><topic>Rescue Work</topic><topic>Risk Factors</topic><topic>Sarcoidosis</topic><topic>Sarcoidosis - epidemiology</topic><topic>Sarcoidosis. 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 & 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. 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.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & 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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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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