Schifferdecker E, Kühnl P, Schöffling K, Manfras B, Holzberger G, Spielmann W, Böhm B O
Medizinische Klinik und Poliklinik, Universitätsklinik Bergmannsheil, Bochum.
Klin Wochenschr. 1991 Apr 4;69(6):256-60. doi: 10.1007/BF01666851.
110 carefully characterized Caucasoid patients with Graves' disease were tested for HLA class I and class II antigens. Compared with Caucasian controls (n = 193), the frequencies of HLA B8, Cw7 and DR3 were significantly increased (pc less than 0.05). In the subgroups with and without exophthalmos, HLA A3 exhibited a negative but insignificant association with the eye involvement, while A19 and Cw2 showed positive, however even weaker correlations with eye disease. HLA DR5 was associated with relapsing thyrotoxicosis, whereas HLA DR7 and B12 were negatively correlated with relapse. These results confirm the positive correlation of HLA B8 and DR3 with Graves' disease and reveal a not yet observed association with Cw7. Reported correlations of antigen frequencies with eye disease and relapsing thyrotoxicosis could not be confirmed. Other previously unknown, however subtle differences in disease subgroups were observed.
对110例经过仔细特征描述的白种人Graves病患者进行了HLA I类和II类抗原检测。与白种人对照组(n = 193)相比,HLA B8、Cw7和DR3的频率显著升高(p<0.05)。在有和没有突眼的亚组中,HLA A3与眼部受累呈负相关,但无统计学意义,而A19和Cw2与眼病呈正相关,但相关性更弱。HLA DR5与复发性甲状腺毒症相关,而HLA DR7和B12与复发呈负相关。这些结果证实了HLA B8和DR3与Graves病的正相关性,并揭示了与Cw7尚未观察到的关联。抗原频率与眼病和复发性甲状腺毒症的报道相关性未得到证实。观察到了疾病亚组中其他先前未知但细微的差异。