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© 1993 British Society for Rheumatology


research-article

HLA ASSOCIATIONS IN SUBJECTS WITH RHEUMATOID ARTHRITIS AND BRONCHIECTASIS BUT NOT WITH OTHER PULMONARY COMPLICATIONS OF RHEUMATOID DISEASE

M. C. HILLARBY*, M. J. McMAHON*, D. M. GRENNAN*, R. G. COOPER*, R. W. E. CLARKSON*, E. J. DAVIES*, P. A. SANDERS*, C. CHATITOPADHYAY{dagger} and D. SWINSON{dagger}

*University of Manchester, Rheumatic Diseases Centre Hope Hospital, Salford M6 8HD
{dagger}University of Manchester, Department of Rheumatology, Wrightingion Hospital Lancashire

We have examined HLA-DR, DQA and DQB variants in 72 controls, 153 subjects with RA without extra-articular features and in subjects with the rheumatoid pulmonary complications of interstitial fibrosis (23) peripheral airways disease (13) and in 41 subjects with RA and bronchiectasis. Subjects with RA alone showed the expected association with HLA-DR4 (79%) but those with RA and co-existent pulmonary fibrosis were less likely to be DR4 positive (61%). No other HLA-DR variants were significantly increased in the different disease groups. HLA which types serologically as DQw1 was increased in subjects with RA and peripheral airways disease as compared to rheumatoid subjects with normal lung function, but these differences were not statistically significant. DQBI*0601 was increased in subjects with bronchiectasis with or without RA (but only significantly so in RA-BR subjects) DQBI*0301, DQBI*020l and DQAI*0501 frequencies were also increased in subjects with RA and bronchiectasis as compared to those with RA alone.

KEY WORDS: Rheumatoid arthritis, Pulmonary fibrosis, Obstructive airways disease, Bronchiectasis, HLA-DR, HLA-DQ, HLA-Dw, C4


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