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Geoepidemiology of Sjögren's syndrome in Latin America

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dc.creatorRestrepo-Jiménez, Paulaspa
dc.creatorMolano González, Nicolás
dc.creatorAnaya, Juan-Manuelspa
dc.date.accessioned2020-05-25T23:55:47Z
dc.date.available2020-05-25T23:55:47Z
dc.date.created2019spa
dc.description.abstractObjective: To evaluate the geoepidemiology of Sjögren's syndrome (SS) in Latin America. Methods: This was a three phase study in which original data from a Colombian cohort of patients with SS is presented, followed by a systematic review of Colombian and Latin American studies. Lastly, the geoepidemiology of SS in Latin America was assessed by comparing the clinical characteristics of the region with those of the rest of the world by means of a meta-analysis approach. Results: Data from 2970 patients from Latin America and 18019 patients from Europe, North America and Asia were analyzed. Colombian patients have a lower age at disease onset than those from other Latin American countries and a higher rate of positivity of antinuclear antibodies and rheumatoid factor. A significant difference in the proportion of female patients in Latin America compared with Europe and North America was observed. The spectrum of disease in Latin American was similar to North American patients, while strong differences were noticed between Latin American and European and Asian patients. Noteworthy, a paucity of reports including African and African-descendent patients was observed. Conclusions: The clinical spectrum of SS differs between countries and continents. Genetic differences relying upon ancestry could explain these findings. However, environmental factors have proven to be important determinants in the development of autoimmune diseases (i.e., autoimmune ecology). Thus, ancestry and the autoimmune ecology should be considered in studies aimed to evaluate the geoepidemiology of SS and other autoimmune diseases. © 2019 Société française de rhumatologieeng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.jbspin.2019.02.004
dc.identifier.issn1297319X
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22213
dc.language.isoengspa
dc.publisherElsevier Masson SASspa
dc.relation.citationEndPage626
dc.relation.citationIssueNo. 5
dc.relation.citationStartPage620
dc.relation.citationTitleJoint Bone Spine
dc.relation.citationVolumeVol. 86
dc.relation.ispartofJoint Bone Spine, ISSN:1297319X, Vol.86, No.5 (2019); pp. 620-626spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85062680471&doi=10.1016%2fj.jbspin.2019.02.004&partnerID=40&md5=c39c8fa208d2913a86ffca6477fdb8d5spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAntinuclear antibodyspa
dc.subject.keywordRheumatoid factorspa
dc.subject.keywordArticlespa
dc.subject.keywordAsiaspa
dc.subject.keywordAutoimmune diseasespa
dc.subject.keywordClinical featurespa
dc.subject.keywordColombiaspa
dc.subject.keywordEnvironmental factorspa
dc.subject.keywordEuropespa
dc.subject.keywordGenetic differencespa
dc.subject.keywordHumanspa
dc.subject.keywordMedical literaturespa
dc.subject.keywordNorth americaspa
dc.subject.keywordSjoegren syndromespa
dc.subject.keywordSouth and central americaspa
dc.subject.keywordSystematic reviewspa
dc.subject.keywordAncestryspa
dc.subject.keywordAutoimmune diseasesspa
dc.subject.keywordColombiaspa
dc.subject.keywordEthnicityspa
dc.subject.keywordLatin americaspa
dc.subject.keywordSjögren's syndromespa
dc.titleGeoepidemiology of Sjögren's syndrome in Latin Americaspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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