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Rojo-Contreras W, Olivas-Flores EM, Gamez-Nava JI, Montoya-Fuentes H, Trujillo-Hernandez B, Trujillo X, Suarez-Rincon AE, Baltazar-Rodriguez LM, Sanchez-Hernandez J, Ramirez-Flores M, Vazquez-Salcedo J, Rojo-Contreras J, Morales-Romero J, Gonzalez-Lopez L. Cervical human papillomavirus infection in Mexican women with systemic lupus erythematosus or rheumatoid arthritis. Lupus 2011; 21:365-72. [DOI: 10.1177/0961203311425517] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Cervical human papillomavirus (HPV+) infection is associated with an increased risk of cervical dysplasia. Although the frequency of HPV+ in systemic lupus erythematosus (SLE) has been investigated in some races its prevalence in Hispanic women is still unknown. This cross-sectional study evaluated the prevalence of cervical HPV+ in Mexican women with SLE ( n = 34) or rheumatoid arthritis (RA) ( n = 43) and in healthy controls ( n = 146). These women were interviewed about risk factors for sexually transmitted infections and cervical cytology analysis was performed. HPV+ viral types were identified using PCR: HPV+ was observed in 14.7% of SLE, 27.9% of RA and 30.8% of controls. High-risk HPV types were observed in 11.7% of women with SLE, 27.9% of women with RA, and in 26% of the controls. High-risk viral types 58, 35 and 18 were the most frequently identified in SLE. Two women with SLE had a high-grade squamous intraepithelial lesion and one had cervical cancer. An association was observed between methotrexate utilization, longer duration of therapy with prednisone, and HPV+ in RA or SLE. Thus, there is a high prevalence of cervical HPV infection in Mexican women with SLE or RA, and physicians must be vigilant in preventing the development of cervical dysplasia.
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Affiliation(s)
- W Rojo-Contreras
- Sistema de Educación Media Superior, Preparatoria 17, University of Guadalajara, Guadalajara, Mexico; 2Department of Internal Medicine, IMSS, Guadalajara, Mexico; 3Clinical Epidemiology Research Unit UMAE HECMNO, IMSS, Guadalajara, Mexico; 4Postgraduate Programmes of Public Health Sciences and Pharmacology, Guadalajara, Mexico; 5Department Molecular Microbiology II CIBO, IMSS, and University of Guadalajara, Guadalajara, Mexico; 6Clinical Epidemiology Research Unit HGZ-1, IMSS Colima, Guadalajara, Mexico
| | - EM Olivas-Flores
- Sistema de Educación Media Superior, Preparatoria 17, University of Guadalajara, Guadalajara, Mexico; 2Department of Internal Medicine, IMSS, Guadalajara, Mexico; 3Clinical Epidemiology Research Unit UMAE HECMNO, IMSS, Guadalajara, Mexico; 4Postgraduate Programmes of Public Health Sciences and Pharmacology, Guadalajara, Mexico; 5Department Molecular Microbiology II CIBO, IMSS, and University of Guadalajara, Guadalajara, Mexico; 6Clinical Epidemiology Research Unit HGZ-1, IMSS Colima, Guadalajara, Mexico
| | - JI Gamez-Nava
- Sistema de Educación Media Superior, Preparatoria 17, University of Guadalajara, Guadalajara, Mexico; 2Department of Internal Medicine, IMSS, Guadalajara, Mexico; 3Clinical Epidemiology Research Unit UMAE HECMNO, IMSS, Guadalajara, Mexico; 4Postgraduate Programmes of Public Health Sciences and Pharmacology, Guadalajara, Mexico; 5Department Molecular Microbiology II CIBO, IMSS, and University of Guadalajara, Guadalajara, Mexico; 6Clinical Epidemiology Research Unit HGZ-1, IMSS Colima, Guadalajara, Mexico
| | - H Montoya-Fuentes
- Sistema de Educación Media Superior, Preparatoria 17, University of Guadalajara, Guadalajara, Mexico; 2Department of Internal Medicine, IMSS, Guadalajara, Mexico; 3Clinical Epidemiology Research Unit UMAE HECMNO, IMSS, Guadalajara, Mexico; 4Postgraduate Programmes of Public Health Sciences and Pharmacology, Guadalajara, Mexico; 5Department Molecular Microbiology II CIBO, IMSS, and University of Guadalajara, Guadalajara, Mexico; 6Clinical Epidemiology Research Unit HGZ-1, IMSS Colima, Guadalajara, Mexico
| | - B Trujillo-Hernandez
- Sistema de Educación Media Superior, Preparatoria 17, University of Guadalajara, Guadalajara, Mexico; 2Department of Internal Medicine, IMSS, Guadalajara, Mexico; 3Clinical Epidemiology Research Unit UMAE HECMNO, IMSS, Guadalajara, Mexico; 4Postgraduate Programmes of Public Health Sciences and Pharmacology, Guadalajara, Mexico; 5Department Molecular Microbiology II CIBO, IMSS, and University of Guadalajara, Guadalajara, Mexico; 6Clinical Epidemiology Research Unit HGZ-1, IMSS Colima, Guadalajara, Mexico
| | - X Trujillo
- Sistema de Educación Media Superior, Preparatoria 17, University of Guadalajara, Guadalajara, Mexico; 2Department of Internal Medicine, IMSS, Guadalajara, Mexico; 3Clinical Epidemiology Research Unit UMAE HECMNO, IMSS, Guadalajara, Mexico; 4Postgraduate Programmes of Public Health Sciences and Pharmacology, Guadalajara, Mexico; 5Department Molecular Microbiology II CIBO, IMSS, and University of Guadalajara, Guadalajara, Mexico; 6Clinical Epidemiology Research Unit HGZ-1, IMSS Colima, Guadalajara, Mexico
| | - AE Suarez-Rincon
- Sistema de Educación Media Superior, Preparatoria 17, University of Guadalajara, Guadalajara, Mexico; 2Department of Internal Medicine, IMSS, Guadalajara, Mexico; 3Clinical Epidemiology Research Unit UMAE HECMNO, IMSS, Guadalajara, Mexico; 4Postgraduate Programmes of Public Health Sciences and Pharmacology, Guadalajara, Mexico; 5Department Molecular Microbiology II CIBO, IMSS, and University of Guadalajara, Guadalajara, Mexico; 6Clinical Epidemiology Research Unit HGZ-1, IMSS Colima, Guadalajara, Mexico
| | - LM Baltazar-Rodriguez
- Sistema de Educación Media Superior, Preparatoria 17, University of Guadalajara, Guadalajara, Mexico; 2Department of Internal Medicine, IMSS, Guadalajara, Mexico; 3Clinical Epidemiology Research Unit UMAE HECMNO, IMSS, Guadalajara, Mexico; 4Postgraduate Programmes of Public Health Sciences and Pharmacology, Guadalajara, Mexico; 5Department Molecular Microbiology II CIBO, IMSS, and University of Guadalajara, Guadalajara, Mexico; 6Clinical Epidemiology Research Unit HGZ-1, IMSS Colima, Guadalajara, Mexico
| | - J Sanchez-Hernandez
- Sistema de Educación Media Superior, Preparatoria 17, University of Guadalajara, Guadalajara, Mexico; 2Department of Internal Medicine, IMSS, Guadalajara, Mexico; 3Clinical Epidemiology Research Unit UMAE HECMNO, IMSS, Guadalajara, Mexico; 4Postgraduate Programmes of Public Health Sciences and Pharmacology, Guadalajara, Mexico; 5Department Molecular Microbiology II CIBO, IMSS, and University of Guadalajara, Guadalajara, Mexico; 6Clinical Epidemiology Research Unit HGZ-1, IMSS Colima, Guadalajara, Mexico
| | - M Ramirez-Flores
- Sistema de Educación Media Superior, Preparatoria 17, University of Guadalajara, Guadalajara, Mexico; 2Department of Internal Medicine, IMSS, Guadalajara, Mexico; 3Clinical Epidemiology Research Unit UMAE HECMNO, IMSS, Guadalajara, Mexico; 4Postgraduate Programmes of Public Health Sciences and Pharmacology, Guadalajara, Mexico; 5Department Molecular Microbiology II CIBO, IMSS, and University of Guadalajara, Guadalajara, Mexico; 6Clinical Epidemiology Research Unit HGZ-1, IMSS Colima, Guadalajara, Mexico
| | - J Vazquez-Salcedo
- Sistema de Educación Media Superior, Preparatoria 17, University of Guadalajara, Guadalajara, Mexico; 2Department of Internal Medicine, IMSS, Guadalajara, Mexico; 3Clinical Epidemiology Research Unit UMAE HECMNO, IMSS, Guadalajara, Mexico; 4Postgraduate Programmes of Public Health Sciences and Pharmacology, Guadalajara, Mexico; 5Department Molecular Microbiology II CIBO, IMSS, and University of Guadalajara, Guadalajara, Mexico; 6Clinical Epidemiology Research Unit HGZ-1, IMSS Colima, Guadalajara, Mexico
| | - J Rojo-Contreras
- Sistema de Educación Media Superior, Preparatoria 17, University of Guadalajara, Guadalajara, Mexico; 2Department of Internal Medicine, IMSS, Guadalajara, Mexico; 3Clinical Epidemiology Research Unit UMAE HECMNO, IMSS, Guadalajara, Mexico; 4Postgraduate Programmes of Public Health Sciences and Pharmacology, Guadalajara, Mexico; 5Department Molecular Microbiology II CIBO, IMSS, and University of Guadalajara, Guadalajara, Mexico; 6Clinical Epidemiology Research Unit HGZ-1, IMSS Colima, Guadalajara, Mexico
| | - J Morales-Romero
- Sistema de Educación Media Superior, Preparatoria 17, University of Guadalajara, Guadalajara, Mexico; 2Department of Internal Medicine, IMSS, Guadalajara, Mexico; 3Clinical Epidemiology Research Unit UMAE HECMNO, IMSS, Guadalajara, Mexico; 4Postgraduate Programmes of Public Health Sciences and Pharmacology, Guadalajara, Mexico; 5Department Molecular Microbiology II CIBO, IMSS, and University of Guadalajara, Guadalajara, Mexico; 6Clinical Epidemiology Research Unit HGZ-1, IMSS Colima, Guadalajara, Mexico
| | - L Gonzalez-Lopez
- Sistema de Educación Media Superior, Preparatoria 17, University of Guadalajara, Guadalajara, Mexico; 2Department of Internal Medicine, IMSS, Guadalajara, Mexico; 3Clinical Epidemiology Research Unit UMAE HECMNO, IMSS, Guadalajara, Mexico; 4Postgraduate Programmes of Public Health Sciences and Pharmacology, Guadalajara, Mexico; 5Department Molecular Microbiology II CIBO, IMSS, and University of Guadalajara, Guadalajara, Mexico; 6Clinical Epidemiology Research Unit HGZ-1, IMSS Colima, Guadalajara, Mexico
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