PMID- 19523767 OWN - NLM STAT- MEDLINE DCOM- 20091117 LR - 20090831 IS - 1872-6623 (Electronic) IS - 0304-3959 (Linking) VI - 145 IP - 1-2 DP - 2009 Sep TI - HLA-B62 and HLA-DQ8 are associated with Complex Regional Pain Syndrome with fixed dystonia. PG - 82-5 LID - 10.1016/j.pain.2009.05.015 [doi] AB - Complex Regional Pain Syndrome (CRPS) is clinically characterized by pain in combination with sensory, autonomic, and motor symptoms that may include weakness, tremor, myoclonus and dystonia of the affected limb(s). The syndrome is multifactorial in origin and mostly attributed to tissue injury. There is some evidence that the human leukocyte antigen (HLA) system plays a role in the pathophysiology of CRPS, but previous studies lacked power. Here we performed the most extensive study investigating the contribution of HLA alleles (i.e. HLA-A, HLA-B, HLA-DRB1, and HLA-DQB1) in 150 CRPS patients who also had fixed dystonia. HLA-B62 (OR=2.05 [95% CI 1.41-2.99], P=0.0005) and HLA-DQ8 (OR=1.75 [95% CI 1.20-2.57], P=0.005) were found significantly associated with CRPS and dystonia. The association remained significant after correction (HLA-B62 P(corrected) [P(c)] = 0.02 and HLA-DQ8 P(c)=0.04). The involvement of HLA-B62 and HLA-DQ8 in CRPS with dystonia may indicate that these HLA loci are implicated in the susceptibility or expression of the disease. FAU - de Rooij, Annetje M AU - de Rooij AM AD - Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands. FAU - Florencia Gosso, M AU - Florencia Gosso M FAU - Haasnoot, Geert W AU - Haasnoot GW FAU - Marinus, Johan AU - Marinus J FAU - Verduijn, Willem AU - Verduijn W FAU - Claas, Frans H J AU - Claas FH FAU - van den Maagdenberg, Arn M J M AU - van den Maagdenberg AM FAU - van Hilten, Jacobus J AU - van Hilten JJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090611 PL - United States TA - Pain JT - Pain JID - 7508686 RN - 0 (HLA-B Antigens) RN - 0 (HLA-DQ Antigens) RN - 0 (HLA-DQ8 antigen) SB - IM MH - Adult MH - Complex Regional Pain Syndromes/complications/*genetics MH - Dystonia/complications/*genetics MH - Female MH - Gene Frequency MH - *Genetic Predisposition to Disease MH - Genotype MH - HLA-B Antigens/*genetics MH - HLA-DQ Antigens/*genetics MH - Humans MH - Male MH - Odds Ratio MH - Retrospective Studies MH - Young Adult EDAT- 2009/06/16 09:00 MHDA- 2009/11/18 06:00 CRDT- 2009/06/16 09:00 PHST- 2009/02/20 00:00 [received] PHST- 2009/04/21 00:00 [revised] PHST- 2009/05/18 00:00 [accepted] PHST- 2009/06/16 09:00 [entrez] PHST- 2009/06/16 09:00 [pubmed] PHST- 2009/11/18 06:00 [medline] AID - S0304-3959(09)00301-7 [pii] AID - 10.1016/j.pain.2009.05.015 [doi] PST - ppublish SO - Pain. 2009 Sep;145(1-2):82-5. doi: 10.1016/j.pain.2009.05.015. Epub 2009 Jun 11.