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An epidemiologic study of index and family infectious mononucleosis and adult Hodgkin's disease (HD): Evidence for a specific association with EBV+ve HD in young adults

Lookup NU author(s): Dr Brian Angus

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Abstract

Infectious mononucleosis (IM) is an established risk factor for Hodgkin's disease (HD). A substantial minority (33%) of cases of HD have. Epstein-Barr virus (EBV) DNA within the malignant cells (are EBV+ve). It is unclear whether risk after IM applies specifically to EBV+ve HD. We report the results of a population-based case-control study of HD in adults (n = 408 cases of classical H D, 513 controls) aged 16-74 years; the case series included 113 EBV+ve and 243 EBV-ve HD. Analyses compared total HD, EBV+ve HD and EBV-ve HD with the controls and EBV+ve HD with EBV-ve HD cases using, mainly, logistic regression. Regression analyses were adjusted for gender, age-group and socioeconomic status, and were per formed for the whole age range and separately for young (< 35 years) and old adults ( greater than or equal to 35 years); formal tests of effect modification by age were included. For the young adults, reported 1M in index or relative was strongly and significantly associated with EBV+ve HD when compared to controls (odds ratio [OR] = 2.94, 95% confidence interval [Cl]: 1.08-7.98 and OR = 5.22, 95% Cl: 2.15-12.68, respectively). These results may be interpreted as indications that late first exposure to EBV increases risk of HD, especially in young adults; this applies primarily to EBV+ve HD. (C) 2003 Wiley-Liss, Inc.


Publication metadata

Author(s): Alexander FE, Lawrence DJ, Freeland J, Krajewski AS, Angus B, Taylor GM, Jarrett RF

Publication type: Article

Publication status: Published

Journal: International Journal of Cancer

Year: 2003

Volume: 107

Issue: 2

Pages: 298-302

ISSN (print): 0020-7136

ISSN (electronic): 1097-0215

Publisher: John Wiley & Sons, Inc.

URL: http://dx.doi.org/10.1002/ijc.11156

DOI: 10.1002/ijc.11156


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