Ankylosing Spondylitis HLA-B27

HLA-B27 is a genetic marker located on the surface of white blood cells, part of the complex human leukocyte antigen (HLA) system that plays a crucial role in the immune system's ability to distinguish between the body's own proteins and those made by foreign invaders such as viruses and bacteria. Having the HLA-B27 gene itself doesn't cause any symptoms or disease. However, it is associated with a higher risk of developing certain autoimmune diseases, particularly those affecting the joints and eyes. Here are some conditions associated with HLA-B27 and their symptoms:

  1. Ankylosing Spondylitis (AS):

    • Chronic inflammation of the spine and the sacroiliac joints (where the spine meets the pelvis), leading to pain and stiffness in the lower back, buttocks, and hips.
    • Over time, the inflammation can lead to new bone formation on the spine, causing sections of the spine to fuse in a fixed, immobile position.
    • Fatigue is also a common symptom.
  2. Reactive Arthritis (Reiter's Syndrome):

    • This condition can occur after certain bacterial infections. It's characterized by inflammation in joints, the urinary tract, and the eyes.
    • Symptoms include joint pain and swelling, urinary symptoms (such as increased frequency or discomfort), and eye inflammation (conjunctivitis or uveitis).
  3. Psoriatic Arthritis:

    • This form of arthritis affects some people with psoriasis, a condition that features red patches of skin topped with silvery scales.
    • Symptoms include joint pain, stiffness, and swelling, which can affect any part of the body, including the fingertips and spine. Nail changes and fatigue are also common.
  4. Uveitis:

    • Inflammation of the eye's middle layer (uvea), causing redness, pain, blurred vision, and light sensitivity. HLA-B27 is strongly associated with a particular type of uveitis that tends to affect the eye's anterior part.
  5. Enteropathic Arthritis:

    • This type of arthritis occurs in some people with inflammatory bowel diseases (IBD), such as Crohn's disease and ulcerative colitis.
    • Symptoms include pain and swelling in the joints, diarrhea, abdominal pain, and blood in the stool.

It's important to note that not everyone with the HLA-B27 gene will develop these conditions. Similarly, these conditions can occur in individuals without HLA-B27. If you're experiencing symptoms like these, it's important to consult a healthcare provider for an accurate diagnosis and appropriate management.

 

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