RT Journal Article SR Electronic T1 Second-to-fourth Digit Ratio in Systemic Lupus Erythematosus JF The Journal of Rheumatology JO J Rheumatol FD The Journal of Rheumatology SP jrheum.140974 DO 10.3899/jrheum.140974 A1 Kentaro Doe A1 Kazuhisa Nozawa A1 Takuya Hirai A1 Hiroshi Tsushima A1 Eri Hayashi A1 Kaori Hiruma A1 Seiichiro Ando A1 Soichiro Nakano A1 Takayuki Kon A1 Hirofumi Amano A1 Ken Yamaji A1 Naoto Tamura A1 Yoshinari Takasaki YR 2015 UL http://www.jrheum.org/content/early/2015/02/24/jrheum.140974.abstract AB Objective Systemic lupus erythematosus (SLE) occurs predominantly in women, and sex hormones play an important role in SLE. Variation in the second-to-fourth digit ratio (2D4D ratio) is attributed to sex hormone exposure. Therefore, we evaluated the relationship between sex hormones and SLE by measuring 2D4D ratios. Methods We measured 2D4D ratios in 100 patients with SLE and 200 normal healthy controls (NHC). Results Patients with SLE had a lower 2D4D ratio than NHC. Conclusion Our study suggests that patients with SLE have experienced high prenatal testosterone and low prenatal estrogen. To our knowledge, this is the first study evaluating the association between 2D4D ratio and SLE.