Subsequent Risks of Parkinson Disease in Patients with Autoimmune and Related Disorders: A Nationwide Epidemiological Study from Sweden

被引:82
作者
Li, Xinjun [1 ]
Sundquist, Jan [2 ]
Sundquist, Kristina
机构
[1] Lund Univ, Ctr Primary Hlth Care Res, CRC, SUS, SE-20502 Malmo, Sweden
[2] Stanford Univ, Sch Med, Stanford Prevent Res Ctr, Stanford, CA 94305 USA
关键词
Autoimmune disorders; Subsequent Parkinson disease; Population-based study; Follow-up study; ANKYLOSING-SPONDYLITIS; HOSPITALIZATION; SCLEROSIS;
D O I
10.1159/000333222
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objectives: To investigate associations between autoimmune disorders and Parkinson disease (PD), and to study whether the risk is associated with follow-up time and age. Methods: Standardized incidence ratios (SIRs) were calculated for PD in patients with autoimmune disorders by comparing them to subjects without autoimmune disorders. Results: Among 310,522 patients with a total of 33 conditions of autoimmune disorders, 932 patients developed subsequent PD, giving an overall SIR of 1.33 and 1.19 for PD diagnosed later than 1 year after follow-up. Six types of autoimmune disorders showed an increased risk. These conditions included: amyotrophic lateral sclerosis, Graves's disease/hyperthyroidism, Hashimoto's disease/hypothyroidism, multiple sclerosis, pernicious anemia, and polymyalgia rheumatica. The risks depended on the age at hospitalization for PD. Conclusions: A 33% overall excess risk of PD was noted among patients with an autoimmune disorder; the risk was increased during the first 10 years of follow-up after hospitalization of autoimmune disorders. Copyright (C) 2011 S. Karger AG, Basel
引用
收藏
页码:277 / 284
页数:8
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