Healio Rheuminations

The Environment and Autoimmunity, Part 1


Listen Later

This episode delves into the history of the hygiene hypothesis. What do we know about different exposures changing risk for asthma and allergies, and do these exposures have the same protection for autoimmunity?

· Intro 0:12

· In this episode 0:18

· Hygiene hypothesis 0:33

· Allergic rhinitis (or Hay fever) 2:32

· Pollen and the allergy skin test 8:58

· Exposure and cleanliness 10:22

· Allergic rhinitis and Cree Native Americans 11:51

· Appendicitis 13:10

· Family size and asthma 14:36

· Rural versus urban populations 17:41

· Dust 18:31

· Children, day care and infections 22:43

· The "old friends" theory 28:29

· Farming and allergies 30:07

· The Amish and the Hutterites 33:02

· Mice, dust and asthma 34:47

· Thanks for listening 37:40

Disclosures: Brown reports no relevant financial disclosures.

We'd love to hear from you! Send your comments/questions to Dr. Brown at [email protected]. Follow us on Twitter @HRheuminations @AdamJBrownMD @HealioRheum.

References:

Emanuel MB. Clin Exp Allergy. 1988;doi:10.1111/j.1365-2222.1988.tb02872.x.

Flohr C, et al. Clin Exp Allergy. 2010;doi:10.1111/j.1365-2222.2009.03346.x.

Genuneit J. Pediatr Allergy Immunol. 2012;doi:10.1111/j.1399-3038.2012.01312.x.

Karvonen AM, et al. J Allergy Clin Immunol. 2019;doi:10.1016/j.jaci.2019.07.035.

Perkin MR, et al. Front Allergy. 2022;doi:10.3389/falgy.2022.1051368.

Rantala AK, et al. Epidemiol. 2020;doi:10.1097/EDE.000000000001163.

Sangrador CO, et al. Allergol Immunopathol (Madr). 2018;doi:10.1016/j.aller.2018.03.006.

Stein MM, et al. N Engl J Med. 2016;doi:10.1056/NEJMoa1508749.

Strachan DP. BMJ. 1989;doi:10.1136/bmj.299.6710.1259.

Weber J, et al. Am J Respir Crit Care Med. 2015;doi:10.1164/rccm.201410-1899OC.

...more
View all episodesView all episodes
Download on the App Store

Healio RheuminationsBy Adam J. Brown, MD

  • 4.8
  • 4.8
  • 4.8
  • 4.8
  • 4.8

4.8

118 ratings


More shows like Healio Rheuminations

View all
NEJM This Week by NEJM Group

NEJM This Week

324 Listeners

JAMA Clinical Reviews by JAMA Network

JAMA Clinical Reviews

498 Listeners

Neurology® Podcast by American Academy of Neurology

Neurology® Podcast

298 Listeners

Mayo Clinic Talks by Mayo Clinic

Mayo Clinic Talks

295 Listeners

Rheumnow Podcast by Dr. Cush

Rheumnow Podcast

131 Listeners

The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

3,358 Listeners

Core IM | Internal Medicine Podcast by Core IM Team

Core IM | Internal Medicine Podcast

1,145 Listeners

The Evidence Based Rheumatology Podcast by Michael Putman

The Evidence Based Rheumatology Podcast

115 Listeners

Eye Care Out Loud by Darrell White

Eye Care Out Loud

9 Listeners

The Clinical Problem Solvers by The Clinical Problem Solvers

The Clinical Problem Solvers

515 Listeners

Gut Talk by Sameer K. Berry, MD, and William D. Chey, MD

Gut Talk

31 Listeners

ACR on Air by American College of Rheumatology

ACR on Air

67 Listeners

GPnotebook Podcast by GPnotebook

GPnotebook Podcast

22 Listeners

Unmasking COVID-19 by Healio

Unmasking COVID-19

30 Listeners

Meeting Mic by Healio

Meeting Mic

5 Listeners

Oncology Overdrive by Shikha Jain, MD

Oncology Overdrive

15 Listeners

The Curious Clinicians by The Curious Clinicians

The Curious Clinicians

373 Listeners

Rheumatology For The Royal College by Dr. Karim Ladak

Rheumatology For The Royal College

183 Listeners

Eye Care Insider by Joshua Mali, MD

Eye Care Insider

5 Listeners

Vital Capacity by Abhishek Bhardwaj, MD

Vital Capacity

13 Listeners

Mend the Gap: Equity in Medicine by Healio

Mend the Gap: Equity in Medicine

6 Listeners

ACR Journals On Air by American College of Rheumatology

ACR Journals On Air

18 Listeners

Talking Rheumatology Spotlight by British Society for Rheumatology

Talking Rheumatology Spotlight

6 Listeners

Eyeluminaries by John Hovanesian, MD, FACS and Jim Mazzo

Eyeluminaries

5 Listeners