PMID- 11852900 OWN - NLM STAT- MEDLINE DCOM- 20020815 LR - 20211203 IS - 0172-8172 (Print) IS - 0172-8172 (Linking) VI - 21 IP - 4 DP - 2002 Jan TI - Tribal and geographical variations of lupus in the Sultanate of Oman: a hospital-based study. PG - 141-5 AB - Tribal differences are demonstrated in the presentation of lupus in Omani Gulf Arabs (OGA) and Omani Arabs of Persian descent (OAP), both groups resident in and indigenous to the Sultanate of Oman. The OAP have a lower risk of joint complications, skin rash, and dsDNA antibodies than OGA (beta coefficient and 95% confidence interval [CI], -35.6, -16.4, and -2.31 and -38.05 to -33.06, -19.49 to -13.3, and -4.1 to -0.6, respectively). The OGA have higher levels of IgG isotype APL antibodies than OAP, both anticardiolipin (ACA) (t= 1.75, P= 1.04) and anti-beta2glycoprotein I (infinitybeta2GPI) (t=3.64, P=0.004) antibodies, while OAP have higher levels of ACAs, IgM isotype (t=2.86, P=0.0024), than OGA. Antiphospholipid (APL) antibodies associate differently with clinical symptoms, both within OAP and between OAP and OGA. Patients from Dakiliyah have a higher risk of joint disease than those from Muscat (relative risk ratio 5.0, 95% CI 1.3-18.3). Differences in symptomatology suggest variations in genetic linkages to human systemic lupus erythematosus. FAU - Al Maini, M H AU - Al Maini MH AD - Department of Medicine and Immunology, College of Medicine, Sultan Qaboos University, Muscat, Sultanate of Oman. FAU - El-Ageb, El-Nour AU - El-Ageb el-N FAU - Al-Shukaily, A K AU - Al-Shukaily AK FAU - Al-Wahaibi, S AU - Al-Wahaibi S FAU - Richens, E R AU - Richens ER LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Germany TA - Rheumatol Int JT - Rheumatology international JID - 8206885 RN - 0 (Antibodies, Antiphospholipid) SB - IM MH - Adolescent MH - Adult MH - Age Distribution MH - Antibodies, Antiphospholipid/genetics/*immunology MH - Cohort Studies MH - Developing Countries MH - Ethnicity/*genetics MH - Female MH - Hospitals MH - Humans MH - Lupus Erythematosus, Systemic/*ethnology/genetics/*immunology MH - Male MH - Multivariate Analysis MH - Oman/epidemiology MH - Prevalence MH - Regression Analysis MH - Risk Assessment MH - Risk Factors MH - Sex Distribution EDAT- 2002/02/21 10:00 MHDA- 2002/08/16 10:01 CRDT- 2002/02/21 10:00 PHST- 2002/02/21 10:00 [pubmed] PHST- 2002/08/16 10:01 [medline] PHST- 2002/02/21 10:00 [entrez] AID - 10.1007/s00296-001-0151-1 [doi] PST - ppublish SO - Rheumatol Int. 2002 Jan;21(4):141-5. doi: 10.1007/s00296-001-0151-1.