Pediatric rheumatology

HLA–DRB1*15 and Eosinophilia Are Common Among Patients With Systemic Juvenile Idiopathic Arthritis

Arthritis Care Res (Hoboken)Published Retrospective cohort study

Authors' conclusion

Carriage of DRB1*15 was more common in this cohort of patients with systemic JIA than in the general population. Eosinophilia and systemic JIA-LD were more common among patients with severe systemic JIA complicated by macrophage activation syndrome.

Study context

Population
Subjects with sJIA followed for at least 6 months between 1996 and 2022 at one center23 with HLA typing
Participants
86 subjects
Exposure
Patients with vs without eosinophilia; with vs without DRB1*15; with vs without sJIA-LD
  • sJIA-LDn = 7
Outcome
Carriage of HLA-DRB1*15 and eosinophilia, and their association with adverse drug reactions and sJIA-LD
Methodological detailsretrospective chart review, single-centre
  • Retrospective chart review
  • Single-centre

Main finding

As reported in the abstract

Carriage of HLA-DRB1*15 among patients with HLA typing

Carried DRB1*15, of 23 patients with HLA typing

74%

Carried DRB1*15, patients without systemic JIA-LD

63%

Subjects with systemic JIA-LD, all of whom carried DRB1*15

7

Observational data: associations, not effects.

Further findings

Exposure to IL-1 and IL-6 blockers

Exposure to IL-1 and IL-6 blockers
95%

Death

Deaths, unrelated to active sJIA disease
1

Original publication

HLA–DRB1*15 and Eosinophilia Are Common Among Patients With Systemic Juvenile Idiopathic Arthritis. Arthritis Care Res (Hoboken). Published 15 May 2023. doi:10.1002/acr.25132

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