MRCEM Notes

HLA associations

HLA antigens are encoded for by genes on chromosome 6. HLA A, B and C are class I antigens whilst DP, DQ, DR are class II antigens. Questions are often based around which diseases have strong HLA associations. The most important associations are listed below:

HLA-A3
  • haemochromatosis

HLA-B5
  • Behcet's disease

HLA-B27
  • ankylosing spondylitis
  • Reiter's syndrome
  • acute anterior uveitis

HLA-DQ2/DQ8
  • coeliac disease

HLA-DR2
  • narcolepsy
  • Goodpasture's

HLA-DR3
  • dermatitis herpetiformis
  • Sjogren's syndrome
  • primary biliary cirrhosis

HLA-DR4
  • type 1 diabetes mellitus*
  • rheumatoid arthritis

*type 1 diabetes mellitus is associated with HLA-DR3 but is more strongly associated with HLA-DR4.
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