FREQUENCY OF HUMAN LEUKOCYTE ANTIGEN B27(HLA-B27) IN CLINICALLY DIAGNOSED ANKYLOSING SPONDYLITIS; A STUDY OF 100 CASES

Objective: To determine the frequency of Human leukocyte antigen B-27 patients with clinically diagnosed ankylosing spondylitis and frequency of peripheral joints‟ involvement and serum inflammatory markers (raised serum C-reactive protein & erythrocyte sedimentation rate). Study Design: Desc...

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Autores principales: Sardar Muhammad, Amer Fakhr, Muhammad Adnan Manzar, Farzana Hakim, Taimoor Ashraf Khan, Bilal Ahmad
Formato: article
Lenguaje:EN
Publicado: Army Medical College Rawalpindi 2019
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Acceso en línea:https://doaj.org/article/f139c44766804d3490cff819a313c00d
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spelling oai:doaj.org-article:f139c44766804d3490cff819a313c00d2021-11-05T04:22:09ZFREQUENCY OF HUMAN LEUKOCYTE ANTIGEN B27(HLA-B27) IN CLINICALLY DIAGNOSED ANKYLOSING SPONDYLITIS; A STUDY OF 100 CASES0030-96482411-8842https://doaj.org/article/f139c44766804d3490cff819a313c00d2019-12-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3632/2455https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine the frequency of Human leukocyte antigen B-27 patients with clinically diagnosed ankylosing spondylitis and frequency of peripheral joints‟ involvement and serum inflammatory markers (raised serum C-reactive protein & erythrocyte sedimentation rate). Study Design: Descriptive, cross-sectional study. Place and Duration of Study: Department of Rheumatology Pak Emirates Military Hospital, Rawalpindi for duration of 10 months from Jan 2018 to Oct 2018. Methodology: We included 100 cases of Ankylosing Spondylitis. Sample was selected by consecutive sampling technique and used “(Modified) New York Classification Criteria for Ankylosing Spondylitis”. Blood samples for C-reactive protein & erythrocyte sedimentation rate and Human leukocyte antigen B-27 were analysed by the same pathologist. We analyzed the data by using SPSS version 20. Results: Mean age of cases was 25 ± 4.5 years. Seventy-seven patients were positive for Human leukocyte antigen B27 and 23 were negative. In 69% patients erythrocyte sedimentation rate was high and in 64% patients C-reactive protein was raised. In 33% patient there was only axial involvement while peripheral arthritis was present in 67% of patients and enthesitis in 60%. Only 5% patients have the uveitis (All positive for Human leukocyte antigen B-27). Only one patient had cardiac involvement. Conclusion: Ankylosing Spondylitis was found a common disease and study results showed similar trends of positive Human leukocyte antigen B-27 cases as in the rest of the world. Human leukocyte antigen B-27 has a strong statistically significant association with peripheral joint involvement and acute anterior uveitis.Sardar MuhammadAmer FakhrMuhammad Adnan ManzarFarzana HakimTaimoor Ashraf KhanBilal AhmadArmy Medical College Rawalpindiarticleankylosing spondylitisaxial spondylitisextra articular manifestationhuman leukocyte antigen b-27 (hla b-27)inflammatory markersperipheral arthritisspondyloarthritisMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 6, Pp 1194-1198 (2019)
institution DOAJ
collection DOAJ
language EN
topic ankylosing spondylitis
axial spondylitis
extra articular manifestation
human leukocyte antigen b-27 (hla b-27)
inflammatory markers
peripheral arthritis
spondyloarthritis
Medicine
R
Medicine (General)
R5-920
spellingShingle ankylosing spondylitis
axial spondylitis
extra articular manifestation
human leukocyte antigen b-27 (hla b-27)
inflammatory markers
peripheral arthritis
spondyloarthritis
Medicine
R
Medicine (General)
R5-920
Sardar Muhammad
Amer Fakhr
Muhammad Adnan Manzar
Farzana Hakim
Taimoor Ashraf Khan
Bilal Ahmad
FREQUENCY OF HUMAN LEUKOCYTE ANTIGEN B27(HLA-B27) IN CLINICALLY DIAGNOSED ANKYLOSING SPONDYLITIS; A STUDY OF 100 CASES
description Objective: To determine the frequency of Human leukocyte antigen B-27 patients with clinically diagnosed ankylosing spondylitis and frequency of peripheral joints‟ involvement and serum inflammatory markers (raised serum C-reactive protein & erythrocyte sedimentation rate). Study Design: Descriptive, cross-sectional study. Place and Duration of Study: Department of Rheumatology Pak Emirates Military Hospital, Rawalpindi for duration of 10 months from Jan 2018 to Oct 2018. Methodology: We included 100 cases of Ankylosing Spondylitis. Sample was selected by consecutive sampling technique and used “(Modified) New York Classification Criteria for Ankylosing Spondylitis”. Blood samples for C-reactive protein & erythrocyte sedimentation rate and Human leukocyte antigen B-27 were analysed by the same pathologist. We analyzed the data by using SPSS version 20. Results: Mean age of cases was 25 ± 4.5 years. Seventy-seven patients were positive for Human leukocyte antigen B27 and 23 were negative. In 69% patients erythrocyte sedimentation rate was high and in 64% patients C-reactive protein was raised. In 33% patient there was only axial involvement while peripheral arthritis was present in 67% of patients and enthesitis in 60%. Only 5% patients have the uveitis (All positive for Human leukocyte antigen B-27). Only one patient had cardiac involvement. Conclusion: Ankylosing Spondylitis was found a common disease and study results showed similar trends of positive Human leukocyte antigen B-27 cases as in the rest of the world. Human leukocyte antigen B-27 has a strong statistically significant association with peripheral joint involvement and acute anterior uveitis.
format article
author Sardar Muhammad
Amer Fakhr
Muhammad Adnan Manzar
Farzana Hakim
Taimoor Ashraf Khan
Bilal Ahmad
author_facet Sardar Muhammad
Amer Fakhr
Muhammad Adnan Manzar
Farzana Hakim
Taimoor Ashraf Khan
Bilal Ahmad
author_sort Sardar Muhammad
title FREQUENCY OF HUMAN LEUKOCYTE ANTIGEN B27(HLA-B27) IN CLINICALLY DIAGNOSED ANKYLOSING SPONDYLITIS; A STUDY OF 100 CASES
title_short FREQUENCY OF HUMAN LEUKOCYTE ANTIGEN B27(HLA-B27) IN CLINICALLY DIAGNOSED ANKYLOSING SPONDYLITIS; A STUDY OF 100 CASES
title_full FREQUENCY OF HUMAN LEUKOCYTE ANTIGEN B27(HLA-B27) IN CLINICALLY DIAGNOSED ANKYLOSING SPONDYLITIS; A STUDY OF 100 CASES
title_fullStr FREQUENCY OF HUMAN LEUKOCYTE ANTIGEN B27(HLA-B27) IN CLINICALLY DIAGNOSED ANKYLOSING SPONDYLITIS; A STUDY OF 100 CASES
title_full_unstemmed FREQUENCY OF HUMAN LEUKOCYTE ANTIGEN B27(HLA-B27) IN CLINICALLY DIAGNOSED ANKYLOSING SPONDYLITIS; A STUDY OF 100 CASES
title_sort frequency of human leukocyte antigen b27(hla-b27) in clinically diagnosed ankylosing spondylitis; a study of 100 cases
publisher Army Medical College Rawalpindi
publishDate 2019
url https://doaj.org/article/f139c44766804d3490cff819a313c00d
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