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Published on: May 29, 2020
Epidemiology of autoimmune diseases in Denmark
William W Eaton1, Noel R Rose, Amanda Kalaydjian
1Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 North Broadway, Baltimore, MD 21205, USA. weaton@jhsph.edu
Insights
This study reveals that over 5% of the population has one of 31 autoimmune diseases. Extensive comorbidity exists within individuals, but familial aggregation is stronger for single diseases than across different autoimmune conditions.
Area of Science:
- Epidemiology
- Immunology
- Genetics
Background:
- Epidemiologic studies of autoimmune diseases as a collective group are lacking.
- Autoimmune diseases represent a significant public health concern.
- Understanding their population prevalence and interrelationships is crucial.
Purpose of the Study:
- To estimate the population prevalence of 31 autoimmune diseases.
- To investigate pairwise comorbidities among these diseases within individuals.
- To examine familial aggregation patterns across generations.
Main Methods:
- Utilized the National Patient Register of Denmark for population-based data.
- Employed record linkage to identify comorbidities and familial relationships.
- Analyzed data for 31 distinct autoimmune conditions.
Main Results:
- The overall prevalence of any of the 31 autoimmune diseases exceeds 5%.
- Significant comorbidity was observed among individuals with these diseases.
- Familial aggregation was strong for individual diseases but weak across different autoimmune conditions.
Conclusions:
- Autoimmune diseases collectively impact a substantial portion of the population.
- The findings suggest shared underlying etiopathologies among various autoimmune diseases.
- Further research into common pathogenic mechanisms is warranted.
Abstract:
An epidemiologic study of the autoimmune diseases taken together has not been done heretofore. The National Patient Register of Denmark is used to estimate the population prevalence of 31 possible or probable autoimmune diseases. Record linkage is used to estimate 465 pairwise co-morbidities in individuals among the 31 diseases, and familial aggregation among sibs, parents and offspring. The prevalence of any of the 31 diseases in the population is more than 5%. Within individuals, there is extensive comorbidity across the 31 diseases. Within families, aggregation is strongest for individual diseases and weak across diseases. These data confirm the importance of the autoimmune diseases as a group and suggest that common etiopathologies exist among them.
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