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Bagri NK, Al Julandani DA, Osborne NJR, Charman CR, Ramanan AV. Progressive unilateral facial asymmetry in a young girl. Lancet Rheumatol 2023; 5:e756. [PMID: 38251566 DOI: 10.1016/s2665-9913(23)00067-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 02/20/2023] [Accepted: 02/24/2023] [Indexed: 03/30/2023]
Affiliation(s)
- Narendra Kumar Bagri
- Department of Paediatric Rheumatology, Bristol Royal Hospital for Children, Bristol, UK; Division of Paediatric Rheumatology, Department of Paediatrics, All India Institute of Medical Sciences, New Delhi, India
| | | | | | | | - Athimalaipet V Ramanan
- Department of Paediatric Rheumatology, Bristol Royal Hospital for Children, Bristol, UK; Translational Health Science, University of Bristol, Bristol, UK.
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O'Leary D, Al Julandani DA, Zia M, Klotsche J, Minden K, Roderick M, Ramanan AV, Killeen OG, Wilson AG. HLA-B*27 is associated with CNO in a European cohort. Pediatr Rheumatol Online J 2023; 21:52. [PMID: 37277844 DOI: 10.1186/s12969-023-00826-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Accepted: 05/06/2023] [Indexed: 06/07/2023] Open
Abstract
OBJECTIVES To determine the influence of HLA-B27 positivity on risk of developing chronic nonbacterial osteomyelitis (CNO). METHODS HLA-B*27 genotype was assessed in 3 European CNO populations and compared with local control populations (572 cases, 33,256 controls). Regional or whole-body MRI was performed at diagnosis and follow-up in all cases which reduces the risk of disease misclassification. Genotyping was performed using either next generation DNA sequencing or PCR based molecular typing. Statistical analysis used Fisher's exact test with Bonferroni correction and a fixed effects model for meta-analysis of odds ratios. RESULTS HLA-B*27 frequency was higher in all 3 populations compared with local controls (combined odds ratio (OR) = 2.2, p-value = 3 × 10-11). This association was much stronger in male compared with female cases (OR = 1.99, corrected p-value = 0.015). However, the HLA-B*27 status was not statistically significantly associated with co-occurrence of psoriasis, arthritis or inflammatory bowel disease. CONCLUSION Carriage of HLA-B*27 is associated with greater risk of developing CNO, particularly in male cases.
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Affiliation(s)
- Daire O'Leary
- Centre for Arthritis Research, Conway Institute, School of Medicine, University College Dublin, Belfield, Dublin 4, Ireland.
- National Centre for Paediatric Rheumatology, Children's Health Ireland, Dublin, Ireland.
| | | | - Muhammad Zia
- National Centre for Paediatric Rheumatology, Children's Health Ireland, Dublin, Ireland
| | - Jens Klotsche
- Deutsches Rheuma-Forschungszentrum Berlin, Leibniz Institute, Berlin, Germany
| | - Kirsten Minden
- Deutsches Rheuma-Forschungszentrum Berlin, Leibniz Institute, Berlin, Germany
- Department of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität Zu Berlin, Berlin, Germany
| | - Marion Roderick
- Department of Paediatric Immunology and Infectious Diseases, Bristol Royal Hospital for Children, Bristol, UK
- Population Health Sciences, University of Bristol, Bristol, UK
| | - Athimalaipet V Ramanan
- Department of Paediatric Rheumatology, Bristol Royal Hospital for Children, Bristol, UK
- Translational Health Sciences, University of Bristol, Bristol, UK
| | - Orla G Killeen
- Centre for Arthritis Research, Conway Institute, School of Medicine, University College Dublin, Belfield, Dublin 4, Ireland
- National Centre for Paediatric Rheumatology, Children's Health Ireland, Dublin, Ireland
| | - Anthony G Wilson
- Centre for Arthritis Research, Conway Institute, School of Medicine, University College Dublin, Belfield, Dublin 4, Ireland
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