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鸟枪弹样视网膜脉络膜病变与HLA - A29抗原的关联。

Association of birdshot retinochoroidopathy and HLA-A29 antigen.

作者信息

Baarsma G S, Priem H A, Kijlstra A

机构信息

Eye Hospital, Rotterdam, The Netherlands.

出版信息

Curr Eye Res. 1990;9 Suppl:63-8. doi: 10.3109/02713689008999422.

DOI:10.3109/02713689008999422
PMID:2384016
Abstract

In 1980 Ryan and Maumenee described a new clinical entity characterized by hypopigmented spots in a typical patterned distribution in association with vitritis and retinal vasculopathy leading to cystoid macular oedema and papilloedema. In a recent study of a large group of European patients (n = 102) with birdshot retinochoroidopathy, the importance of the different clinical manifestations and their diagnostic value were assessed. Data on HLA-A29 typing were obtained in 49 patients with birdshot retinochoroidopathy. We could confirm the high association between HLA-A29 and this disease, as found by Nussenblatt in 1982. In 47 of these patients (95.5%) the HLA-A29 antigen was present. This association is presently the highest HLA class I disease association reported with a relative risk of 224.35.

摘要

1980年,瑞安和莫梅尼描述了一种新的临床病症,其特征为色素减退斑呈典型的图案状分布,并伴有葡萄膜炎和视网膜血管病变,进而导致黄斑囊样水肿和视乳头水肿。在最近一项针对一大组欧洲鸟枪弹样视网膜脉络膜病变患者(n = 102)的研究中,评估了不同临床表现的重要性及其诊断价值。49例鸟枪弹样视网膜脉络膜病变患者获得了HLA - A29分型数据。正如1982年努森布拉特所发现的那样,我们能够证实HLA - A29与这种疾病之间存在高度关联。在这些患者中有47例(95.5%)存在HLA - A29抗原。目前,这种关联是报道的HLA I类疾病关联中最高的,相对风险为224.35。

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