The central feature of a number of connective tissue or "autoimmune" disorders is widespread vascular inflammation. Although many of the resulting clinical and serologic abnormalities nonspecifically reflect tissue injury, sufficient variation exists in the pathology, type of organ involvement, and
INCREASED FREQUENCY OF HLA–DR5 IN SCLERODERMA
✍ Scribed by Dafna D. Gladman; Edward C. Keystone; Murray Baron; Peter Lee; Donna Cane; Helen Mervert
- Publisher
- John Wiley and Sons
- Year
- 1981
- Tongue
- English
- Weight
- 227 KB
- Volume
- 24
- Category
- Article
- ISSN
- 0004-3591
No coin nor oath required. For personal study only.
✦ Synopsis
Progressive systemic sclerosis (scleroderma) is a connective tissue disease of unknown etiology (1). The demonstration of a mononuclear cell infiltrate in the early lesions of scleroderma and the frequent occurrence of serologic abnormalities suggest an immunologic pathogenesis for this disease (1). Furthermore, the disease is often seen in association with other collagen diseases such as rheumatoid arthritis, polymyositis, and systemic lupus erythematosus in which immunologic injury is thought to play a role.
The HLA-D locus of the major histocompatibility complex in humans is thought to code for immune response genes (2). Associations between HLA-D locus antigens and both rheumatoid arthritis and systemic lupus erythematosus have recently been demonstrated (3-6). We have therefore assessed B cell alloantigens in a group of patients with scleroderma. The results dem-
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Juvenile dermatomyositis (JDMS) is a chronic inflammatory disease of unknown etiology that occurs in children and is characterized by a typical rash and symmetric proximal myopathy often associated with soft tissue calcifications. We have previously reported a greater than expected frequency of HLA-