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Figure D37: Autoimmunity incidence relative to cumulative PFOA (10-year lag)

Autoimmunity: 
  • Only 10-year lag data presented in this figure (similar results were found for unlagged and lagged exposure analyses)
  • Steenland (2013) examined association between estimated cumulative PFOA exposure and incidence of autoimmune diseases with >50 validated cases (Crohn's disease, insulin-dependent diabetes, lupus, multiple sclerosis, rheumatoid arthritis, and ulcerative colitis) - only ulcerative colitis was significantly associated with PFOA
    • p trend for 10-year lagged cumulative exposure p <0.0001 and ulcerative colitis
    • p trend for unlagged cumulative exposure p <0.0001 and ulcerative colitis
  • Steenland (2015) examined association between estimated cumulative PFOA exposure for workers with ulcerative colitis and rheumatoid arthritis
    • p trend for 10-year lagged cumulative exposure p = 0.05 and ulcerative colitis
    • p trend for unlagged cumulative exposure p = 0.05 and ulcerative colitis
DISPLAY NOTES
  • Orange Dashed Line separates different autoimmune diseases