Systemic sclerosis & Raynaud's

Environmental and occupational factors in the aetiopathogenesis of systemic sclerosis: insights from a large multinational patient survey

Scand J RheumatolPublished Cross-sectional study

Authors' conclusion

We benchmark potential environmental and occupational factors in SSc. A novel finding was the identification of several important potential industrial/chemical agent exposures.

Study context

Population
Individuals with systemic sclerosis (SSc) invited through international patient associations and social media; 19 countries, mostly USA (68%) and UK (23%); 93% female; 81% ≥ 51 years old
Participants
478 evaluable individuals
Outcome
Potential current/past environmental and occupational exposures relevant to SSc
Methodological detailsonline survey, multinational, descriptive statistics, Voluntary participation; no identifiable information collected
  • Online survey
  • Multinational
  • Descriptive statistics
  • Voluntary participation; no identifiable information collected

Main finding

As reported in the abstract

  • Outdoor sun exposure, paint/varnishes/lacquers, weedkillers, wet work/cleaning agents, paint thinners/removers, biological agents, pesticides, solvents/degreasers, and ionizing radiation (each reported by >10%)

Observational data: associations, not effects.

Further findings

Exposures previously implicated in SSc

Silica/quartz, PVC/plasticizers, vinyl chloride and epoxy resins also reported, although less frequently

SSc subtype

Diffuse cutaneous SSc
137
Limited cutaneous SSc
178
MCTD/SSc overlap (around one-fifth)
84

Disease duration

>10 years
50%
5-10 years
20%

Employment status

Active employment (one-third): full-time
23%
Active employment: part-time
10%
Self-employed
4.6%
Retired
42%

Original publication

Environmental and occupational factors in the aetiopathogenesis of systemic sclerosis: insights from a large multinational patient survey. Scand J Rheumatol. Published 17 April 2026. doi:10.1080/03009742.2026.2644688

Composed by AI from the published abstract and checked against it. How Briefs are made →

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