Sany J, Seignalet J, Guilhou J J, Serre H
Rev Rhum Mal Osteoartic. 1975 Jul-Sep;42(7-9):451-60.
The HL-A groups, including the characteristics of 25 antigens, were measured in 61 patients suffering from psoriatic rheumatism, among them 9 with central forms (pelvispondylitis) and 52 with peripheral forms (polyarthritis with or without sacroileitis). Analysis of the results and comparison of them with those of other workers led to the following conclusions: 1) Central psoriatic rheumatism is associated mainly with W27 and Da31, less closely with HL-A13, and slightly or not at all with W17. 2) Peripheral psoriatic rheumatism has the same relationship with the HL-A system as has psoriasis without anthropathy. It is associated mainly with W17, less closely with Da31 and HL-A13, and slightly or not at all with W27. 3) By their relationship to the HL-A system, the two varieties of psoriatic rheumatism may be clearly distinguished from one another and from other inflammatory rheumatisms. The HL-A groupings are of considerable value in the differential diagnosis between central psoriatic rheumatism, peripheral psoriatic rheumatism, ankylosing spondylarthritis, the Fiessinger-Leroy-Reiter syndrome and rheumatoid arthritis.
对61例银屑病性风湿病患者测定了包括25种抗原特征的HL - A组，其中9例为中枢型（骨盆脊椎炎），52例为外周型（伴或不伴骶髂关节炎的多关节炎）。对结果进行分析并与其他研究者的结果比较后得出以下结论：1）中枢型银屑病性风湿病主要与W27和Da31相关，与HL - A13相关性较弱，与W17相关性轻微或无相关性。2）外周型银屑病性风湿病与HL - A系统的关系与无关节病的银屑病相同。它主要与W17相关，与Da31和HL - A13相关性较弱，与W27相关性轻微或无相关性。3）根据它们与HL - A系统的关系，银屑病性风湿病的这两种类型可彼此明显区分，并与其他炎性风湿病区分开来。HL - A分组在中枢型银屑病性风湿病、外周型银屑病性风湿病、强直性脊柱炎、菲辛格 - 勒鲁瓦 - 赖特综合征和类风湿关节炎的鉴别诊断中具有重要价值。
