HLA抗原表达与白塞病

Determination of HLA antigen in Behcet’s disease

  • 摘要: 本文通过44例白塞病(BD)和40例其他疾病对照组行HLA-B5,B8,B12,B21和B27测定发现,在44例BD患者中,其阳性表达率分别为56.82%,11.36%,43.18%,36.36%和20.45%。在25例HLA-B5阳性患者中以完全型BD多见,达77.78%,内脏受累发生率高达64.71%,且合并结核感染机率增高,达68.75%;5例HLA-B8阳性患者中,80%为完全型BD伴内脏受累;9例HLA-B27阳性患者中,66.67%有骶髂关节炎。提示HLA-B5,B8,B12,B21和B27测定以BD的分型、预后判断有一定的意义,即HLA-B5阳性患者完全型BD多,内脏受累多,合并结核感染机率较高,HLA-B8阳性患者多有内脏受累,HLA-B27阳性与骶髂关节炎相关。

     

    Abstract: HLA B5,B8,B12, B21, And B27 were determined in 44 cases with Behcet’s disease (BD) and 40 cases of control patients. The results showed that 56.82% (25/44) were B5 positive, 11.36% (5/44) were B8 positive 43.18% (19/44) were B12 positive, 36.36% (16/44) were B21 positive and 20.45 (9/44) were B27 positive, It was noted that complete BD was mostly B5 positive (77.78%), and 64.71% of them had organ involvement. Among B8 positive patients, 4 (80%) of them were complete BD with organ involvement. Six out of 9 B27 positive BD patients had sacroiliitis. It was surprised to note that 68.75% of B5 positive BD patients had tuberculosis infection. We conclude that determination of HLA B5,B8,B12、B21, and B27 is helpful for the diagnosis and classification of BD. Furthermore, there are high prevalences of organ involvement and tubercuiosis infection among B5 positive BD, while B27 positivity is closely related to sacroiliitis.

     

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