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    Allergy and risk of childhood leukaemia: results from the UKCCS.

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    Authors
    Hughes, Ann M
    Lightfoot, Tracy
    Simpson, Jill
    Ansell, Pat
    McKinney, Patricia A
    Kinsey, Sally E
    Mitchell, Christopher D
    Eden, Tim O B
    Greaves, Mel F
    Roman, Eve
    Affiliation
    Epidemiology and Genetics Unit, Department of Health Sciences, University of York, York, United Kingdom.
    Issue Date
    2007-08-15
    
    Metadata
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    Abstract
    We investigated the relationship between childhood leukaemia and preceding history of allergy. A nationwide case-control study of childhood cancers was conducted in the United Kingdom with population-based sampling of cases (n = 839) and controls (n = 1,337), matched on age, sex and region of residence. Information about clinically diagnosed allergies was obtained from primary care records. More than a third of subjects had at least one allergy diagnosed prior to leukaemia diagnosis (cases) or pseudo-diagnosis (controls). For both total acute lymphoblastic leukaemia (ALL) and common-ALL/precursor B-cell ALL (c-ALL), a history of eczema was associated with a 30% significant reduction in risk: the odds ratios (OR) and 95% confidence intervals (CI) were 0.70 (0.51-0.97) and 0.68 (0.48-0.98), respectively. Similar associations were observed for hayfever (OR = 0.47; 95% CI: 0.26-0.85 and OR = 0.62; 95% CI: 0.33-1.16 for ALL and c-ALL, respectively). No such patterns were seen either for asthma and ALL, or for any allergy and acute myeloid leukaemia. A comparative analysis of primary care records with parents recall of allergy revealed only moderate agreement with contemporaneous clinical diagnoses for both cases and controls--confirming the unreliability of parental report at interview. Our finding of a reciprocal relationship between allergy and ALL in children is compatible with the hypothesis that a dysregulated immune response is a critical determinant of childhood ALL.
    Citation
    Allergy and risk of childhood leukaemia: results from the UKCCS. 2007, 121 (4):819-24 Int. J. Cancer
    Journal
    International Journal of Cancer
    URI
    http://hdl.handle.net/10541/70177
    DOI
    10.1002/ijc.22702
    PubMed ID
    17390373
    Type
    Article
    Language
    en
    ISSN
    0020-7136
    ae974a485f413a2113503eed53cd6c53
    10.1002/ijc.22702
    Scopus Count
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    All Christie Publications

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