What Does Human Leukocyte Antigen B27 Have to Do with Spondyloarthritis?

Diagnosis Disease phenotype Genetics HLA-B27 Prognosis Spondyloarthritis

Journal

Rheumatic diseases clinics of North America
ISSN: 1558-3163
Titre abrégé: Rheum Dis Clin North Am
Pays: United States
ID NLM: 8708093

Informations de publication

Date de publication:
05 2020
Historique:
entrez: 29 4 2020
pubmed: 29 4 2020
medline: 9 10 2021
Statut: ppublish

Résumé

Human leukocyte antigen (HLA) B27 is the key laboratory parameter for axial spondyloarthritis (axSpA). Its prevalence is variable across different geographic zones and ethnicities, and often mirrors the prevalence of axSpA. HLA-B27 plays a role in axSpA physiopathology. It is correlated with spondyloarthritis phenotype with a consistent positive association with family history, early disease onset, shorter diagnostic delay, hip involvement, and acute anterior uveitis. HLA-B27 has a pivotal role in many referral strategies. However, these strategies were developed in European populations and need to be evaluated in populations with lower HLA-B27 background prevalence, and where additional parameters might be needed.

Identifiants

pubmed: 32340698
pii: S0889-857X(20)30002-8
doi: 10.1016/j.rdc.2020.01.002
pii:
doi:

Substances chimiques

HLA-B27 Antigen 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

225-239

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure The authors have nothing to disclose.

Auteurs

Hanna Fahed (H)

Department of Rheumatology, Saint-Joseph University, Hôtel-Dieu de France Hospital, BP 166830, Achrafieh, Beirut, Lebanon.

Daniele Mauro (D)

Division of Rheumatology, Department of Precision Medicine, University of Campania "Luigi Vanvitelli", Via Sergio Pansini 5, Napoli 80131, Italy.

Francesco Ciccia (F)

Division of Rheumatology, Department of Precision Medicine, University of Campania "Luigi Vanvitelli", Via Sergio Pansini 5, Napoli 80131, Italy.

Nelly R Ziade (NR)

Department of Rheumatology, Saint-Joseph University, Hôtel-Dieu de France Hospital, BP 166830, Achrafieh, Beirut, Lebanon. Electronic address: nelly.zoghbi@usj.edu.lb.

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Classifications MeSH