Rheumatoid Arthritis with Pleural Effusion Includes a Subgroup with Autoimmune Features and HLA-B8, Dw3 Association

Twenty-eight patients with rheumatoid pleural effusion were investigated to examine the frequency of HLA antigens as compared with 56 rheumatoid arthritis (RA) patients without this intrathoracic manifestation of RA and with 283 healthy controls. HLA-B8 was strongly associated with the presence of p...

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Veröffentlicht in:Scandinavian journal of rheumatology 1986, Vol.15 (3), p.290-296
Hauptverfasser: Hakala, Markku, Tiilikainen, Anja, Hämeenkorpi, Risto, Ilonen, Jorma, Jalava, Seppo, Ruuska, Pekka, Mäkitalo, Reino
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container_end_page 296
container_issue 3
container_start_page 290
container_title Scandinavian journal of rheumatology
container_volume 15
creator Hakala, Markku
Tiilikainen, Anja
Hämeenkorpi, Risto
Ilonen, Jorma
Jalava, Seppo
Ruuska, Pekka
Mäkitalo, Reino
description Twenty-eight patients with rheumatoid pleural effusion were investigated to examine the frequency of HLA antigens as compared with 56 rheumatoid arthritis (RA) patients without this intrathoracic manifestation of RA and with 283 healthy controls. HLA-B8 was strongly associated with the presence of pleural effusion (PE) in RA patients. A high prevalence (71%) of B8/Dw3 was found among male RA patients of the PE group in whom the joint disease had begun at an age over 50 years and who also had besides pleuritis other intrathoracic manifestations of RA associated with high rheumatoid factor litres and low complement (C4) levels in sera. Actually, the HLA-B8 association was not seen in the rest of the PE group. The finding may be related to the heterogeneity of RA, a male subgroup of the disease being characterized by multiple intrathoracic manifestations and genetically associated with the large group of autoimmune disorders, such as SLE, characterized by high prevalences of HLA-B8 and D(R)3.
doi_str_mv 10.3109/03009748609092595
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HLA-B8 was strongly associated with the presence of pleural effusion (PE) in RA patients. A high prevalence (71%) of B8/Dw3 was found among male RA patients of the PE group in whom the joint disease had begun at an age over 50 years and who also had besides pleuritis other intrathoracic manifestations of RA associated with high rheumatoid factor litres and low complement (C4) levels in sera. Actually, the HLA-B8 association was not seen in the rest of the PE group. 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identifier ISSN: 0300-9742
ispartof Scandinavian journal of rheumatology, 1986, Vol.15 (3), p.290-296
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source MEDLINE; Taylor & Francis Medical Library - CRKN; Taylor & Francis Journals Complete
subjects Adult
Aged
Arthritis, Rheumatoid - complications
Arthritis, Rheumatoid - immunology
Autoimmune Diseases - complications
Biological and medical sciences
Complement System Proteins - analysis
Diseases of the osteoarticular system
HLA Antigens - analysis
HLA-B8 Antigen
HLA-D Antigens - analysis
HLA-DR Antigens - analysis
HLA-DR3 Antigen
Humans
Inflammatory joint diseases
Male
Medical sciences
Middle Aged
Pleural Effusion - complications
title Rheumatoid Arthritis with Pleural Effusion Includes a Subgroup with Autoimmune Features and HLA-B8, Dw3 Association
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