Exposure to inorganic particles in paediatric sarcoidosis: the PEDIASARC study

Author:

Nathan NadiaORCID,Montagne Marie-Emeline,Macchi Odile,Rosental Paul-André,Chauveau Simon,Jeny Florence,Sesé Lucile,Abou Taam Rola,Brocvielle Manon,Brouard Jacques,Catinon Mickaël,Chapelon-Abric Catherine,Cohen-Aubart Fleur,Delacourt Christophe,Delestrain Céline,Deschildre Antoine,Dossier Antoine,Epaud RalphORCID,Haroche Julien,Houdouin Véronique,Israel-Biet Dominique,Juvin Karine,Le Jeune Sylvain,Lionnet Francois,Meinzer Ulrich,Mittaine Marie,Nunes Hilario,Mattioni Sarah,Naccache Jean-Marc,Odièvre Marie-Hélène,Vincent Michel,Clement Annick,Valeyre Dominique,Cavalin Catherine

Abstract

Inorganic antigens may contribute to paediatric sarcoidosis. Thirty-six patients matched with 36 healthy controls as well as a group of 21 sickle-cell disease (SCD) controls answered an environmental questionnaire. Patients’ indirect exposure to inorganic particles, through coresidents’ occupations, was higher than in healthy and SCD controls (median score: 2.5 (0.5–7) vs 0.5 (0–2), p=0.003 and 1 (0–2), p=0.012, respectively), especially for construction, exposures to metal dust, talc, abrasive reagents and scouring products. Wood or fossil energies heating were also linked to paediatric sarcoidosis. This study supports a link between mineral environmental exposure due to adult coresident occupations and paediatric sarcoidosis.

Funder

European Research Council (ERC) / SILICOSIS project / Principal investigator: Paul-André Rosental

Publisher

BMJ

Subject

Pulmonary and Respiratory Medicine

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