Spondyloarthritis & psoriatic arthritis

HLA-B5 prevalence in patients with spondyloarthritis and impact on disease phenotype: a multicentric case–control study

Rheumatology (Oxford)Published Case-control study

Authors' conclusion

HLA-B51 was identified more frequently in patients with SpA compared with HC and was associated with recurrent oral ulcerations and juxta-articular radiographic erosions.

Study context

Population
Lebanese patients with spondyloarthritis (SpA) from three rheumatology clinics and healthy controls from blood donors
Participants
86 / 65 / 15 / 6 / 120
Comparison
SpA patients vs healthy controls
  • SpAn = 86
  • axSpAn = 65
  • Peripheral SpA (pSpA)n = 15
  • Psoriatic arthritis (PsA)n = 6
  • Healthy controls (HC)n = 120reference
Outcome
Prevalence of HLA-B51 and HLA-B52 in SpA patients vs HC
Methodological detailsmulticentre, consecutive enrolment, logistic regression
  • Multicentre
  • Consecutive enrolment
  • Logistic regression

Main finding

As reported in the abstract

HLA-B51 prevalence

P = 0.016

Observational data: associations, not effects.

Further findings

HLA-B52 prevalence (numerically higher)

P = 0.230

Factors associated with HLA-B51 in SpA patients

Recurrent oral ulcerations, OR
7.99 (95% CI 2.14, 29.84)
Radiographic juxta-articular erosions, OR
7.65 (95% CI 1.14, 38.03)

HLA-B allele distribution

HLA-B35, most dominant allele in both groups
18.7%
HLA-B27 in SpA
15.7%
HLA-B51 in SpA
13.4%

Original publication

HLA-B5 prevalence in patients with spondyloarthritis and impact on disease phenotype: a multicentric case–control study. Rheumatology (Oxford). Published 17 July 2024. doi:10.1093/rheumatology/keae366

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