RT Journal Article SR Electronic T1 Serum selenium concentrations in rheumatoid arthritis. JF Annals of the Rheumatic Diseases JO Ann Rheum Dis FD BMJ Publishing Group Ltd and European League Against Rheumatism SP 376 OP 378 DO 10.1136/ard.50.6.376 VO 50 IS 6 A1 O'Dell, J R A1 Lemley-Gillespie, S A1 Palmer, W R A1 Weaver, A L A1 Moore, G F A1 Klassen, L W YR 1991 UL http://ard.bmj.com/content/50/6/376.abstract AB Selenium is a trace element and an essential part of the enzyme glutathione peroxidase, which protects cells from oxidative damage. Selenium has been shown to have antiproliferative, anti-inflammatory, antiviral, and immune altering effects. Serum selenium concentrations in 101 patients with seropositive rheumatoid arthritis were found to be significantly lower than those in 29 normal, healthy controls (mean (SD) 148 (42) v 160 (25) micrograms/l) and also lower than those in eight patients with fibrositis (148 (42) v 166 (25) micrograms/l). It is speculated that serum selenium concentrations may modulate the effect of viral or other infections in subjects with the appropriate genetic background and in this way enhance the development or progression of rheumatoid arthritis.