Brain Behav Immun 2001 Dec; 15(4):401-10
The Schizophrenia-Rheumatoid Arthritis Connection:
Infectious, Immune, or Both?
Torrey EF, Yolken RH
Schizophrenia and rheumatoid arthritis share an
impressive number of similarities. Both are chronic, relapsing diseases of
unknown etiology. Both became prominent in the early 19th century and have
prevalences of approximately 1% in North America and Europe. Both run in
families, have pairwise concordance rates of approximately 30% among monozygotic
twins, and are more common among individuals born in urban areas. For both
diseases, studies have reported greater exposure to cats in childhood than in
controls. Both diseases have been associated with similar class II HLA
antigens. Both have also been suspected of having infectious etiology,
with similar agents–retroviruses, herpesviruses including EBV, and Toxoplasma
gondii–having been associated in some cases. Since there is also a
well-documented inverse correlation between these two diseases, it is possible
that they share a common infectious and/or immune etiology and that once a
person gets one of the diseases then they are relatively immune to the other.