Antigenic stimulation and the occurrence of chronic lymphocytic leukemia

Karin A. Rosenblatt, Thomas D. Koepsell, Janet R. Daling, Joseph L. Lyon, G. Marie Swanson, Raymond S. Greenberg, Noel S. Weiss

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Data from a population-based case-control study of chronic lymphocytic leukemia were analyzed to assess the possible etiologic role of chronic antigenic stimulation. The study, conducted in four geographic areas of the United States (the metropolitan areas surrounding Seattle, Washington, Salt Lake City, Utah, Detroit, Michigan, and Atlanta, Georgia) sought to identify all incident cases (n = 430) among residents diagnosed between July 1, 1977 and December 31, 1981. The responses of these cases to questions about possible sources of antigenic stimulation were compared with the responses of controls selected from the populations of these areas. Little difference between cases and controls was present for a history of most forms of viral and bacterial infection and for a history of allergies or allergy treatment. However, a relation was observed with antecedent syphilis infection (odds ratio (OR) = 5.0, 95% confidence interval (Cl) 2.0-12.9). Associations of smaller magnitude were observed with a history of tuberculosis (OR = 1.9, 95% Cl 1.0-3.7) and of urinary tract infection (OR = 1.4, 95% Cl 1.1-1.9). Overall, however, the authors found little evidence of a relation between chronic antigenic stimulation and the occurrence of chronic lymphocytic leukemia. Nonetheless, because the measure of prior antigenic stimulation was restricted to that obtained through interviews and undoubtedly was an insensitive one, these negative results should not be interpreted as ruling out antigenic stimulation as a possible cause of some cases of chronic lymphocytic leukemia. Am J Epidemiol 1991; 134: 22-8.

Original languageEnglish (US)
Pages (from-to)22-28
Number of pages7
JournalAmerican Journal of Epidemiology
Volume134
Issue number1
StatePublished - Jul 1 1991
Externally publishedYes

Fingerprint

B-Cell Chronic Lymphocytic Leukemia
Odds Ratio
Hypersensitivity
Virus Diseases
Syphilis
Bacterial Infections
Urinary Tract Infections
Population
Case-Control Studies
Tuberculosis
Confidence Intervals
Interviews
Infection

Keywords

  • Communicable diseases
  • Leukemia
  • Lymphocytic

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Epidemiology

Cite this

Rosenblatt, K. A., Koepsell, T. D., Daling, J. R., Lyon, J. L., Swanson, G. M., Greenberg, R. S., & Weiss, N. S. (1991). Antigenic stimulation and the occurrence of chronic lymphocytic leukemia. American Journal of Epidemiology, 134(1), 22-28.

Antigenic stimulation and the occurrence of chronic lymphocytic leukemia. / Rosenblatt, Karin A.; Koepsell, Thomas D.; Daling, Janet R.; Lyon, Joseph L.; Swanson, G. Marie; Greenberg, Raymond S.; Weiss, Noel S.

In: American Journal of Epidemiology, Vol. 134, No. 1, 01.07.1991, p. 22-28.

Research output: Contribution to journalArticle

Rosenblatt, KA, Koepsell, TD, Daling, JR, Lyon, JL, Swanson, GM, Greenberg, RS & Weiss, NS 1991, 'Antigenic stimulation and the occurrence of chronic lymphocytic leukemia', American Journal of Epidemiology, vol. 134, no. 1, pp. 22-28.
Rosenblatt KA, Koepsell TD, Daling JR, Lyon JL, Swanson GM, Greenberg RS et al. Antigenic stimulation and the occurrence of chronic lymphocytic leukemia. American Journal of Epidemiology. 1991 Jul 1;134(1):22-28.
Rosenblatt, Karin A. ; Koepsell, Thomas D. ; Daling, Janet R. ; Lyon, Joseph L. ; Swanson, G. Marie ; Greenberg, Raymond S. ; Weiss, Noel S. / Antigenic stimulation and the occurrence of chronic lymphocytic leukemia. In: American Journal of Epidemiology. 1991 ; Vol. 134, No. 1. pp. 22-28.
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