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THURSDAY, March 4 (HealthDayNews) -- Smoking can trigger the onset
of lupus and quitting can reduce that risk, a new study finds.
"Lupus is a rare disease," says lead researcher Dr.
Karen H. Costenbader, a rheumatologist from the division of rheumatology,
allergy and immunology at Massachusetts General Hospital. "But
we found a small, yet significant, increased risk of developing
lupus among current smokers compared with people who never smoked."
However, Costenbader notes that for people who quit the habit,
their risk of developing lupus became the same as if they had never
smoked.
Lupus is a chronic inflammatory disease affecting various parts
of the body, especially the skin, joints, blood, kidneys, lungs,
liver, heart and nervous system. According to the Lupus Foundation
of America, more than 16,000 Americans develop lupus each year.
And it is estimated that 500,000 to 1.5 million Americans have been
diagnosed with the disease.
Lupus can occur at any age, and in both men and women, although
it occurs 10 to 15 times more frequently in women. Some common symptoms
include achy joints, fever, arthritis, prolonged or extreme fatigue,
skin rashes and anemia.
While there is no cure for lupus and some people die from the
disease, most can live a normal life with treatment.
"There are probably a lot of different things that cause
lupus, but genetics is the strongest risk," Costenbader says.
Environmental factors, such as certain drugs, sunlight, exposure
to viruses and perhaps even smoking, may cause some kind of stress
on the body and trigger lupus in people with a genetic disposition
for the disease, Costenbader explains.
Costenbader's team analyzed nine studies that looked at the risk
of a type of lupus called systemic lupus erythematosus and smoking.
Among both men and women smokers, the risk of developing lupus
was 1.5 times greater compared with nonsmokers, the researchers
found.
However, the risk was no greater for ex-smokers than for people
who had never smoked, according to the report in the March 4 online
issue of Arthritis and Rheumatism.
"For those with a genetic risk of developing lupus, the thing
to do is to stop smoking," Costenbader advise.
Dr. Joan T. Merrill, medical director of the Lupus Foundation
of America, notes smoking is not a direct cause of lupus.
To get lupus you need a combination of a certain set of genes
and a certain environmental trigger, Merrill says. If you have lupus
in your family, you have a 5 percent to 12 percent chance of getting
the disease.
This latest study may lead to finding reasons why people get lupus,
she adds.
"Smoking decreases some of your good immune system balance,
and if you have the genetic predisposition to lupus, it makes it
a little more likely that you are going to get lupus," Merrill
says.
"The study shows that you shouldn't smoke, and if you do,
quit. And here's one more reason," she adds.
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