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White cells count in smokers affected by rheumatic diseases
Sebastiano Bartolone1, Emilse Calzavara, Giuseppina A Russo
1Rheumatology Unit, University Hospital G. Martino, Messina, Italy.
Tobacco smoking is linked to rheumatic diseases. Smokers with osteoarthritis showed increased white blood cell counts, a cardiovascular risk biomarker, especially without drug treatment.
Area of Science:
- Rheumatology
- Cardiovascular Risk Biomarkers
- Tobacco Smoking Impact
Background:
- Tobacco smoking is associated with rheumatic disease development.
- Elevated white blood cell count (leukocytosis) in smokers is a recognized cardiovascular risk biomarker.
- The study investigates leukocytosis as a biomarker in rheumatic patients who smoke.
Purpose of the Study:
- To evaluate white blood cell count as a cardiovascular risk biomarker in smokers with rheumatic diseases.
- To explore the relationship between smoking, rheumatic diagnoses, and leukocytosis.
- To assess gender distribution differences in smoking habits among rheumatic patients.
Main Methods:
- An observational study included 115 rheumatic outpatients (56 smokers, 59 non-smokers).
- Patients were categorized by smoking status and rheumatic diagnosis (osteoarthritis, rheumatoid arthritis).
- Clinical parameters, including white blood cell count, were collected and compared between groups.
Main Results:
- Smokers constituted 48.69% of the total sample.
- Osteoarthritis patients who smoked showed a significant increase in white blood cell count compared to non-smokers (P < 0.05).
- No significant clinical differences were found between rheumatoid arthritis smokers and non-smokers, though treatment adherence varied.
Conclusions:
- Smoking may influence the development and gender distribution of rheumatic diseases.
- Leukocytosis, a cardiovascular risk biomarker, is observed in osteoarthritis smokers, particularly those not undergoing pharmacological treatment.
- Further research is needed to understand the specific mechanisms linking smoking, rheumatic diseases, and cardiovascular risk.
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