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Human Leukocyte Antigen (HLA) genes are highly polymorphic and play a critical role in the immune system by presenting peptides to T cells. Certain HLA subtypes are associated with an increased risk of various autoimmune and inflammatory diseases. Understanding these associations aids in diagnosis and management.
HLA Subtypes | Associated Disease | Mnemonic |
---|---|---|
A3 | Hemochromatosis | HA3mochromatosis |
B8 | Addison disease, Myasthenia gravis, Graves disease | “Don’t Be late (8), Dr. Addison, or else you’ll send my patient to the grave.” |
B27 | Psoriatic arthritis, Ankylosing spondylitis, IBD-associated arthritis, Reactive arthritis | PAIR (Psoriatic arthritis, Ankylosing spondylitis, IBD-associated arthritis, Reactive arthritis). These are called seronegative arthropathies. |
C | Psoriasis | – |
DQ2/DQ8 | Celiac disease | “I ate (8) too (2) much gluten at Dairy Queen.” |
DR2 | Multiple sclerosis, Hay fever, Systemic lupus erythematosus (SLE), Goodpasture syndrome | “DRive 2 multiple hay pastures.” |
DR3 | Type 1 Diabetes mellitus, SLE, Graves disease, Hashimoto thyroiditis, Addison disease | “2-3, S-L-E.” |
DR4 | Rheumatoid arthritis, Type 1 Diabetes mellitus, Addison disease | “There are 4 walls in 1 ‘rheum’ (room).” |
DR5 | Hashimoto thyroiditis | “Hashimoto is an odd Dr (DR3, DR5).” |