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HLA-B27

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Spondyloarthropathy Degree of Association

Ankylosing spondylitis > 90%

Reiter's/reactive arthritis > 80%

Enteropathic spondylitis 75%

Psoriatic spondylitis 50%

Normal Population

Caucasian 8%

African Americans 4%

Native Americans 13%

http://www.orthop.washington.edu/faculty/Gardner/sponathy/01

From Labcorp:

Additional Information HLA-B27 is strongly associated with ankylosing

spondylitis (Marie-Strumpell disease). HLA-B27 shares homology with a

Klebsiella protein and may imply a bacterial pathogenesis to ankylosing

spondylitis. A patient with consistent clinical and radiographic findings

who is B27-positive has approximately 100 times greater chance of having or

developing ankylosing spondylitis than a negative patient. The antigen is

not causative, however, and 10% of normal subjects are B27-positive. This

test should not be considered a screening procedure for ankylosing

spondylitis. The antigen is less strongly associated with Reiter syndrome

and other arthritides than with ankylosing spondylitis. It has been linked

with congenital deficiency of C4 and C2, and with adrenal hyperplasia.

http://www.labcorp.com/datasets/labcorp/html/chapter/mono/hl000200.htm

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