Autoantibodies, HLA associations and polymorphisms Flashcards
HLA B27
A. Ankylosing spondylitis
HLA DR15/DR2
A. Goodpasture’s
HLA-DR3
A. Graves disease, SLE, T1DM
HLA-DR3/DR4
A. T1DM
HLA-DR4
A. Rheumatoid arthritis
PTPN22
A. RA, SLE, T1DM
CTLA4
A. SLE, T1DM, autoimmune thyroid dx
Cardiolipin, B2 glycoprotein and lupus anticoagulant
A. Antiphospholipid syndrome
Anti-SM, anti-LKM1 and anti-SLA
A. Autoimmune hepatitis
Anti-Rh
A. Autoimmune haemolytic anaemia
Anti-GpIIb/IIIa or Ib-IX
A. AITP
Anti-TGT, anti-EMA (both IgA)
A. Coeliac dx
95% have DQ2 or DQ8 (DQ2>DQ8)
Associated with dermatitis herpetiformis (chronic, itchy, blistering skin rash resembling herpes)
Anti-Ro
A. Congenital heart block (maternal SLE)
Anti-EMA (IgA)
A. Dermatitis herpetiformis
+anti-TGT = Coeliac dx
Anti-Jo1
A. Dermatomyositis and polymyositis
dermatomyositis has skin involvement e.g. heliotrope rash