Abstract
The index case in this report was clinically, epidemiologically, and serologically proved to be suffering from acute brucellosis acquired in Britain and complicated by acute intractable reactive arthritis. HLA tissue typing was A1, A2, B7, and B27. As there is no information available about HLA typing in brucellosis in Britain, we examined further cases of human brucellosis retrospectively. Three further patients possessing B27 antigen were identified, only one of whom had had reactive arthritis. Eight of the 12 cases studied also carried A2, which is thus shown not to be protective against the development of brucellosis as had been suggested previously.
Full text
PDF![526](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fd7/1001695/7a3c00b7c46d/annrheumd00263-0026.png)
![527](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fd7/1001695/dc13c58fd3d5/annrheumd00263-0027.png)
![528](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fd7/1001695/24cdf7797c8b/annrheumd00263-0028.png)
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Dewar P. J. The role of the laboratory in rheumatology. HLA antigens. Clin Rheum Dis. 1983 Apr;9(1):93–116. [PubMed] [Google Scholar]
- Ebringer R. W. HLA-B27 and the link with rheumatic diseases: recent developments. Clin Sci (Lond) 1980 Dec;59(6):405–410. doi: 10.1042/cs0590405. [DOI] [PubMed] [Google Scholar]
- Hodinka L., Gömör B., Merétey K., Zahumenszky Z., Géher P., Telegdy L., Bozsóky S. HLA-B27-associated spondylarthritis in chronic brucellosis. Lancet. 1978 Mar 4;1(8062):499–499. doi: 10.1016/s0140-6736(78)90158-7. [DOI] [PubMed] [Google Scholar]
- Joshi D. V., Prakash O., Talwar G. P. Antigenic analysis of different strains of Brucella. Indian J Med Res. 1971 Aug;59(8):1225–1230. [PubMed] [Google Scholar]