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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Army Medical College Rawalpindi
2019
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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) |
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DOAJ |
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EN |
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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 |
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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 |
work_keys_str_mv |
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