Could T(H)1 and T(H)2 diseases coexist? Evaluation of asthma incidence in children with coeliac disease, type 1 diabetes, or rheumatoid arthritis: A register study
J. Kero et al., Could T(H)1 and T(H)2 diseases coexist? Evaluation of asthma incidence in children with coeliac disease, type 1 diabetes, or rheumatoid arthritis: A register study, J ALLERG CL, 108(5), 2001, pp. 781-783
Background: Asthma is generally regarded as a disease with strong T(H)2-typ
e cytokine expression, whereas in autoimmune disorders, such as coeliac dis
ease (CD), insulin-dependent diabetes mellitus (IDDM), and rheumatoid arthr
itis (RA), T(H)1-type expression is seen. According to the cross-regulatory
properties of T(H)1 and T(H)2 cells, one would assume that these diseases
exist in different patient populations.
Objective: We sought to test the hypothesis that asthma could exist in chil
dren with T(H)1-type diseases, such as CD, IDDM, and RA.
Methods: Comparison was made of the cumulative incidence of asthma in child
ren with CD, IDDM, or RA by linking Finnish Medical Birth Register data on
the whole 1987 birth cohort (n = 60,254 births) with the data of several na
tional health registers to obtain information on the incidences of these di
seases during the first 7 years of life.
Results: The cumulative incidence of asthma in children with CD (24.6%) or
RA (10.0%) was significantly higher than in children without CD (3.4%) or R
A (3.4%; P < .001 and P = .016, respectively). Asthma tended to be more com
mon in children with IDDM than in children without IDDM.
Conclusion: These data indicate that the T(H)1 and T(H)2 diseases can coexi
st, indicating a common environmental denominator behind the disease proces
ses.