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Risk factors for tuberculosis : ウィキペディア英語版
Risk factors for tuberculosis
There are a number risk factors for tuberculosis infection; worldwide the most important of these is HIV. Co-infection with HIV is a particular problem in Sub-Saharan Africa, due to the high incidence of HIV in these countries.〔(【引用サイトリンク】url=http://www.who.int/tb/publications/global_report/en/index.html )〕 Smoking more than 20 cigarettes a day increases the risk of TB by two to four times while silicosis increases the risk about 30 fold. Diabetes mellitus is also an important risk factor that is growing in importance in developing countries. Other disease states that increase the risk of developing tuberculosis are Hodgkin lymphoma, end-stage renal disease, chronic lung disease, malnutrition, and alcoholism. A persons genetics also plays a role.
==Silicosis==
People with silicosis have an approximately 30-fold greater risk for developing TB.〔 Silica particles irritate the respiratory system, causing immunogenic responses such as phagocytosis, which results in high lymphatic vessel deposits. It is probably this interference and blockage of macrophage function that increases the risk of tuberculosis. Persons with chronic renal failure and also on hemodialysis have an increased risk.
Given that silicosis greatly increases the risk of tuberculosis, more research about the effect of various indoor or outdoor air pollutants on the disease would be necessary. Some possible indoor sources of silica include paint, concrete, and Portland cement. Crystalline silica is found in concrete, masonry, sandstone, rock, paint, and other abrasives. The cutting, breaking, crushing, drilling, grinding, or abrasive blasting of these materials may produce fine silica dust. It can also be in soil, mortar, plaster, and shingles.〔(【引用サイトリンク】title=NIOSH – Silicosis: Learn the Facts! )
Some drugs, including rheumatoid arthritis drugs that work by blocking tumor necrosis factor-alpha (an inflammation-causingcytokine), raise the risk of activating a latent infection due to the importance of this cytokine in the immune defense against TB.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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