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Annals of the Rheumatic Diseases logoLink to Annals of the Rheumatic Diseases
. 1986 Apr;45(4):304–307. doi: 10.1136/ard.45.4.304

Dupuytren's contracture and alcohol.

A Bradlow, A G Mowat
PMCID: PMC1001873  PMID: 2871816

Abstract

Reported alcohol consumption was quantified and scored by a validated questionnaire administered by an interviewer to 64 patients (10 female) with Dupuytren's contracture (DC) before hand surgery and to 89 controls (44 female) admitted for other hand or foot surgery. Serum urate (SUA), gamma-glutamyl transferase (GGT), and mean red cell volume (MCV) were measured on admission. Thirteen of 54 men with DC reported current daily alcohol intake of 40 g or more compared with one of 45 male controls (p = 0.0001). Two of 10 women with DC (but none of 44 controls) admitted consuming at least 40 g alcohol daily (p = 0.03). MCV was higher in men (but not women) with DC than in controls (p less than 0.0005). Current alcohol consumption score of patients with DC correlated with SUA (r = 0.308, p less than 0.05), MCV (r = 0.44, p less than 0.01), and GGT (r = 0.54, p much less than 0.001) on admission. DC among men is strongly associated with heavy drinking, reflected both in self reporting and haematological data.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ashley M. J., Olin J. S., le Riche W. H., Kornaczewski A., Schmidt W., Rankin J. G. Morbidity in alcoholics. Evidence for accelerated development of physical disease in women. Arch Intern Med. 1977 Jul;137(7):883–887. doi: 10.1001/archinte.137.7.883. [DOI] [PubMed] [Google Scholar]
  2. Bradlow A., Mowat A. G. Alcohol consumption in arthritic patients: clinical and laboratory studies. Ann Rheum Dis. 1985 Mar;44(3):163–168. doi: 10.1136/ard.44.3.163. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Brickley-Parsons D., Glimcher M. J., Smith R. J., Albin R., Adams J. P. Biochemical changes in the collagen of the palmar fascia in patients with Dupuytren's disease. J Bone Joint Surg Am. 1981 Jun;63(5):787–797. [PubMed] [Google Scholar]
  4. Brody J. A., Mills G. S. On considering alcohol as a risk factor in specific diseases. Am J Epidemiol. 1978 Jun;107(6):462–466. doi: 10.1093/oxfordjournals.aje.a112565. [DOI] [PubMed] [Google Scholar]
  5. Chick J., Kreitman N., Plant M. Mean cell volume and gamma-glutamyl-transpeptidase as markers of drinking in working men. Lancet. 1981 Jun 6;1(8232):1249–1251. doi: 10.1016/s0140-6736(81)92413-2. [DOI] [PubMed] [Google Scholar]
  6. DAVIDSON C. S., SUMMERSKILL W. H., WOLFE S. J. Thickening and contraction of the palmar fascia (Dupuytren's contracture) associated with alcoholism and hepatic cirrhosis. N Engl J Med. 1956 Sep 20;255(12):559–563. doi: 10.1056/NEJM195609202551204. [DOI] [PubMed] [Google Scholar]
  7. Drum D. E., Goldman P. A., Jankowski C. B. Elevation of serum uric acid as a clue to alcohol abuse. Arch Intern Med. 1981 Mar;141(4):477–479. [PubMed] [Google Scholar]
  8. Matthews P. Familial Dupuytren's contracture with predominantly female expression. Br J Plast Surg. 1979 Apr;32(2):120–123. doi: 10.1016/0007-1226(79)90010-9. [DOI] [PubMed] [Google Scholar]
  9. Mikkelsen O. A. Dupuytren's disease--the influence of occupation and previous hand injuries. Hand. 1978 Feb;10(1):1–8. doi: 10.1016/s0072-968x(78)80019-9. [DOI] [PubMed] [Google Scholar]
  10. Nazari B. Dupuytren's contracture associated with liver disease. J Mt Sinai Hosp N Y. 1966 Jan-Feb;33(1):69–72. [PubMed] [Google Scholar]
  11. Pojer J., Radivojevic M., Williams T. F. Dupuytren's disease. Its association with abnormal liver function in alcoholism and epilepsy. Arch Intern Med. 1972 Apr;129(4):561–566. doi: 10.1001/archinte.129.4.561. [DOI] [PubMed] [Google Scholar]
  12. Rabinowitz J. L., Ostermann L., Jr, Bora F. W., Staeffen J. Lipid composition and de novo lipid biosynthesis of human palmar fat in Dupuytren's disease. Lipids. 1983 May;18(5):371–374. doi: 10.1007/BF02537234. [DOI] [PubMed] [Google Scholar]
  13. Rosalki S. B., Rau D. Serum -glutamyl transpeptidase activity in alcoholism. Clin Chim Acta. 1972 Jun;39(1):41–47. doi: 10.1016/0009-8981(72)90297-5. [DOI] [PubMed] [Google Scholar]
  14. SUMMERSKILL W. H., DAVIDSON C. S., DIBLE J. H., MALLORY G. K., SHERLOCK S., TURNER M. D., WOLFE S. J. Cirrhosis of the liver: a study of alcoholic and nonalcoholic patients in Boston and London. N Engl J Med. 1960 Jan 7;262:1–9. doi: 10.1056/NEJM196001072620101. [DOI] [PubMed] [Google Scholar]
  15. Scott J. M., Weir D. G. Drug-induced megaloblastic change. Clin Haematol. 1980 Oct;9(3):587–606. [PubMed] [Google Scholar]
  16. Su C. K., Patek A. J., Jr Dupuytren's contracture. Its association with alcoholism and cirrhosis. Arch Intern Med. 1970 Aug;126(2):278–281. doi: 10.1001/archinte.126.2.278. [DOI] [PubMed] [Google Scholar]
  17. Tubiana R., Michon J., Thomine J. M. Scheme for the assessment of deformities in Dupuytren's disease. Surg Clin North Am. 1968 Oct;48(5):979–984. doi: 10.1016/s0039-6109(16)38630-3. [DOI] [PubMed] [Google Scholar]
  18. Vijanto J. A. Dupuytren's contracture: a review. Semin Arthritis Rheum. 1973;3(2):155–176. doi: 10.1016/0049-0172(73)90009-7. [DOI] [PubMed] [Google Scholar]
  19. Wegmann T., Geiser W. Die Dupuytrensche Kontraktur der Hand als internistisches Problem Untersuchungen zur Atiologie. Helv Med Acta. 1964 May;31(1):66–108. [PubMed] [Google Scholar]
  20. Wu A., Chanarin I., Levi A. J. Macrocytosis of chronic alcoholism. Lancet. 1974 May 4;1(7862):829–831. doi: 10.1016/s0140-6736(74)90482-6. [DOI] [PubMed] [Google Scholar]

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