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Title: HLA-B27 in possible ankylosing spondylitis with peripheral arthritis. Author: Zeidler H, Wagener P, Eckert G, Freyschmidt J, Fritsch R, Creutzig H, Deicher H. Journal: Rheumatol Int; 1982; 2(1):35-40. PubMed ID: 6983709. Abstract: Among 86 patients selected as possibly having ankylosing spondylitis because of clinical symptoms and radiologically normal sacroiliac joints. HLA-B27 was positive in 41%. Four years later a representative sample of 38 individuals were re-examined and radiographed. HLA-B27 positive patients developed sacroiliitis as defined by radiological criteria twice as often (P less than 0.05). They also showed increased uptake of technetium 99 m upon quantitative scintigraphy with a region of interest method and more often probable or definite ankylosing spondylitis as defined by the New York criteria. Further differences between the HLA-B27 positive and negative follow-up groups concerned the frequency of clinical symptoms and peripheral arthritis. It is suggested that HLA-B27 typing may be helpful both in diagnosis and in judging the prognosis of possible or abortive ankylosing spondylitis.[Abstract] [Full Text] [Related] [New Search]