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Journal of Medical Sciences MEDLINEScopus

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篇名 An Association between Rheumatoid Arthritis and Scabies Infection: A Population‑based Study in Taiwan
卷期 37:2
作者 Ren-Jun HsuJui-Ming LiuHer-Young SuCheng-Ping YuMu-Hsien YuJih-Chin LeeFung-Wei Chang
頁次 050-055
關鍵字 Rheumatoid arthritisscabiesNational Health Insurance Research DatabaseMEDLINEScopus
出刊日期 201704
DOI 10.4103/jmedsci.jmedsci_95_16

中文摘要

英文摘要

Background: Scabies is an infectious inflammatory skin disease, and rheumatoid arthritis (RA) is also an immune‑medicated inflammatory disease. Immune‑mediated inflammatory processes result in the pathophysiologic mechanism in both diseases. Only a few studies have investigated the possible association between scabies and RA. Methods: This nationwide population‑based study included 5135 patients with scabies as the study group; 19,115 people chosen from the National Health Insurance Research Database of Taiwan formed a control group. We tracked patients in both groups for 7 years to identify newly diagnosed cases of RA. Demographic characteristics and comorbidities were analyzed. Cox proportional hazards regressions were performed to calculate the hazard ratio (HR) of RA during the 7‑year follow‑up period. Results: Of the 24,250 patients enrolled in this study, 217 (0.9%) were diagnosed with RA during the 7‑year follow‑up period; 61 (1.2%) were from the scabies group and 156 (0.8%) were from the control group. The data showed that patients with scabies had a higher risk of subsequent RA, with an HR of 1.46 (95% confidence interval = 1.09–1.96). Conclusions: The results indicated an increased risk for RA among the patients with scabies infections. The data also showed that the assessment of RA symptoms should be included in the long‑term follow‑up of patients with scabies.

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