Vasculitis & polymyalgia rheumatica

Impact of Exposure to Environmental Particulate Matter on the Onset of Giant Cell Arteritis

Arthritis Care Res (Hoboken)Published Case-crossover study

Authors' conclusion

Exposure to environmental PM10 in the preceding 60 days seems to be associated with an increased risk of developing GCA, especially in older individuals with prolonged exposure to high levels of air pollution.

Study context

Population
Consecutive patients diagnosed with giant cell arteritis (GCA) in three hospitals in northern Italy, 2013–2021
Participants
232 patients
Comparison
PM10 exposure and GCA onset or ischemic complications
Outcome
GCA symptoms onset associated with PM10 exposure
Follow-up
60-day period
Methodological detailsconsecutive patients, three hospitals, Bayesian hierarchical exposure model, conditional logistic regression
  • Consecutive patients
  • Three hospitals
  • Bayesian hierarchical exposure model
  • Conditional logistic regression

Main finding

As reported in the abstract

GCA risk per 10-μg/m³ increase in PM10 within 60 days

Incremental odd of GCA per 10-μg/m³ increase in PM10

27.1%

95% CI 5.8–52.6

Further findings

GCA onset vs PM10 in preceding 60 days by chronic exposure (subgroup)

GCA risk for shorter periods and ischemic complications

No significant association for shorter periods or with ischemic complications

GCA risk in patients ≥70 years old (subgroup) · 60-day lag

Significantly higher incremental risk for patients ≥70 years old

GCA onset vs PM10 in preceding 60 days by chronic exposure (subgroup)

Association between GCA onset and increased PM10 only in chronically high-exposed

Original publication

Impact of Exposure to Environmental Particulate Matter on the Onset of Giant Cell Arteritis. Arthritis Care Res (Hoboken). Published 9 August 2024. doi:10.1002/acr.25404

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