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J Clin Pathol 56:481-490 doi:10.1136/jcp.56.7.481
  • Review

Pathogenesis of systemic lupus erythematosus

Table 6

Environmental factors that may be relevant in the pathogenesis of systemic lupus erythematosus

Chemical/physical factors
  • Aromatic amines

  • Hydrazines

  • Drugs (procainamide, hydralazine, chlorpromazine, isoniazid, phenytoin, penicillamine)

  • Tobacco smoke

  • Hair dyes

  • Ultraviolet light

Dietary factors
  • L-canavanine (alfalfa sprouts)

  • High intake of saturated fats

Infectious agents
  • ?Bacterial DNA/endotoxins

  • ?Retroviruses

Hormones and environmental oestrogens
  • Hormonal replacement therapy, oral contraceptive pills

  • ?Prenatal exposure to oestrogens

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