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Untangling the relationship between smoking and systemic sclerosis: an analysis of the EUSTAR cohort.

Jacopo CiaffiSophie I E LiemSuzanne CannegieterSaad AhmedEva M HoekstraPiotr WilandTatsuya AtsumiGabriella SzücsAlexandra Balbir GurmanLászló CzirjákElisabetta ZanattaIna KoetterJoerg Christoph HenesMarco Matucci CerinicPaolo AiròFrancesco UrsiniThomas Wj HuizingaJeska K de Vries-BouwstraEustar Collaborators
Published in: RMD open (2024)
Our stratified analysis demonstrates that smoking is associated with an increased risk for mortality in male SSc patients but not in women. Strikingly, smoking is associated with lower prevalence of ATA positivity, in particular in women. In both ATA-positive and ACA-positive patients, smoking is a risk factor for mortality, skin progression and 'any organ progression'.
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