{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T18:20:29Z","timestamp":1788373229518,"version":"build-2803163510"},"reference-count":56,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T00:00:00Z","timestamp":1735516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100015391","name":"Myositis Association","doi-asserted-by":"publisher","award":["1H75DP001743\u201001"],"award-info":[{"award-number":["1H75DP001743\u201001"]}],"id":[{"id":"10.13039\/100015391","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000066","name":"National Institute of Environmental Health Sciences","doi-asserted-by":"publisher","award":["HHSN273201600011C"],"award-info":[{"award-number":["HHSN273201600011C"]}],"id":[{"id":"10.13039\/100000066","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["Z01\u2010ES049028"],"award-info":[{"award-number":["Z01\u2010ES049028"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["ZIA ES101074"],"award-info":[{"award-number":["ZIA ES101074"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp;amp; Research"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this study was to investigate occupational and hobby exposures to silica, solvents, and heavy metals and the odds of having the idiopathic inflammatory myopathy (IIM) phenotypes dermatomyositis (DM) and polymyositis (PM) versus inclusion body myositis (IBM), lung disease plus fever or arthritis (LD+), and systemic autoimmune rheumatic disease\u2013associated overlap myositis (OM).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The sample included 1,390 patients (598 with DM, 409 with PM, and 383 with IBM) aged \u226518 years from a national registry. Of these, 218 (16%) were identified with LD+, and 166 (12%) with OM. Of these, 218 (16%) were identified with LD+, and 166 (12%) with OM. We calculated adjusted odds ratios (ORs) and 95% confidence intervals (CIs) and explored joint effects with smoking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>High silica exposure was associated with increased odds of having DM (OR 2.02, 95% CI 1.18\u20133.46, compared to no exposure; <jats:italic>P<\/jats:italic> trend = 0.004), LD+ (OR 1.75, 95% CI 1.10\u20132.78, vs no LD; <jats:italic>P<\/jats:italic> trend = 0.005), and OM (OR 2.07, 95% CI 1.19\u20133.61, <jats:italic>P<\/jats:italic> trend = 0.020). Moderate to high heavy metals exposure was associated with greater odds of having LD+ (OR 1.49, 95% CI 1.00\u20132.14, <jats:italic>P<\/jats:italic> trend = 0.026) and OM (OR 1.59, 95% CI 0.99\u20132.55, <jats:italic>P<\/jats:italic> trend = 0.051). Greater odds of having LD+ were seen among smokers with moderate to high silica exposure versus nonsmokers with low or no exposure (high\u2010certainty assessment OR 2.53, 95% CI 1.31\u20134.90, <jats:italic>P<\/jats:italic> interaction = 0.061).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These findings, based on a systematic exposure assessment, suggest that occupational and hobby exposures to silica and heavy metals contribute to adult IIM phenotypes, including DM, OM, and LD+, a possible marker for antisynthetase syndrome or other autoantibody\u2010associated lung diseases.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.25461","type":"journal-article","created":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T05:34:56Z","timestamp":1731389696000},"page":"104-115","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Occupational and Hobby Exposures Associated With Myositis Phenotypes in a National Myositis Patient Registry"],"prefix":"10.1002","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5734-3456","authenticated-orcid":false,"given":"Christine G.","family":"Parks","sequence":"first","affiliation":[{"name":"National Institute of Environmental Health Sciences NIH  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse","family":"Wilkerson","sequence":"additional","affiliation":[{"name":"Social &amp; Scientific Systems  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn M.","family":"Rose","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Faiq","sequence":"additional","affiliation":[{"name":"National Institute of Environmental Health Sciences NIH  Bethesda Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Payam Noroozi","family":"Farhadi","sequence":"additional","affiliation":[{"name":"National Institute of Environmental Health Sciences NIH  Bethesda Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nastaran","family":"Bayat","sequence":"additional","affiliation":[{"name":"National Institute of Environmental Health Sciences NIH  Bethesda Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Schiffenbauer","sequence":"additional","affiliation":[{"name":"National Institute of Environmental Health Sciences NIH  Bethesda Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9478-2987","authenticated-orcid":false,"given":"Hermine I.","family":"Brunner","sequence":"additional","affiliation":[{"name":"Cincinnati Children's Hospital Medical Center  Cincinnati Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bob","family":"Goldberg","sequence":"additional","affiliation":[{"name":"The Myositis Association  Columbia Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dale P.","family":"Sandler","sequence":"additional","affiliation":[{"name":"National Institute of Environmental Health Sciences NIH  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2831-9593","authenticated-orcid":false,"given":"Frederick W.","family":"Miller","sequence":"additional","affiliation":[{"name":"National Institute of Environmental Health Sciences NIH  Bethesda Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6912-2458","authenticated-orcid":false,"given":"Lisa G.","family":"Rider","sequence":"additional","affiliation":[{"name":"National Institute of Environmental Health Sciences NIH  Bethesda 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