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© 1990 British Society for Rheumatology

research-article

HLA-B27, ARTHRITIS AND SPONDYLITIS IN AN ISOLATED COMUNITY IN PAPUA NEW GUINEA

G. P. R. CLUINE*, G. KOKI{dagger}, M. L. PRASAD{dagger}, J. E. RICHENS{ddagger}, K. BHATIA{dagger} and A. KEAT§,

*University College and Middlesex School of Medicine Riding House Street, London W1
{dagger}Papua New Guinea Insitute of Medical Research Goroka, Papua New Guinea
{ddagger}Goroka Base Hospital Goroka, Papua New Guinea
§Department of Rheumatology, Westminster Hospital Horseferry Road, London SWI

Correspondence to: correspondence to Dr A. Keat.

Rheumatic complaints in a sample of 109 individuals from an isolated community in Papua New Guinea were documented and 92/109 were tissue typed for HLA-B27. Eleven (10.1%) subjects had active peripheral arthritis, but 38 (34.9%) had previously suffered an episode of arthritis. In those with current peripheral arthritis, 6/10 (60%) were HLA-B27 positive compared to 15/58 (25.9%) with no history of arthritis (P<0.05). In total, 16/34 (47.1%) with either current or a previous history of peripheral arthritis were HLA-B27 positive compared to the 15/58 (25.9%) with no history of arthritis (P<0.05). Back pain was common. In 84/109 individuals the cause was mechanical injury; 24/72 (33.3 %) of these were HLA-B27 positive. Ankylosing spondylitis was identified in one HLA-B27-negative woman.

KEY WORDS: Peripheral arthritis, Ankylosing spondylitis, Enthesopathy, Tissue type


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