PMID- 22132698 OWN - NLM STAT- MEDLINE DCOM- 20120522 LR - 20131121 IS - 1346-8138 (Electronic) IS - 0385-2407 (Linking) VI - 39 IP - 2 DP - 2012 Feb TI - Three siblings with systemic lupus erythematosus. PG - 164-7 LID - 10.1111/j.1346-8138.2011.01333.x [doi] AB - We present the cases of three siblings with systemic lupus erythematosus (SLE). The diagnosis was made when the sisters were of age 21, 25 and 28 years. They shared some clinical features, including typical facial rash, photosensitivity and Raynaud's phenomenon, and tested positive for antinuclear antibodies. However, their symptoms and clinical courses varied. Human leukocyte antigen (HLA) typing revealed that DR4 and A2 were present in all three sisters, while HLA type A11, B35 and B54 were each found in two of the three sisters. The two elder sisters developed lupus glomerulonephritis 8 and 11 years after the onset of SLE. It is suggested that there are genes responsible for the onset of the disease and also unknown regulatory genes other than HLA result in different phenotypes. CI - (c) 2011 Japanese Dermatological Association. FAU - Shu, En AU - Shu E AD - Department of Dermatology, Gifu University Graduate School of Medicine Department of Dermatology, Kizawa Memorial Hospital, Gifu, Japan. gif142@gifu-u.ac.jp FAU - Ichiki, Yoshiro AU - Ichiki Y FAU - Moriya, Chie AU - Moriya C FAU - Iwata, Hiroaki AU - Iwata H FAU - Kitajima, Yasuo AU - Kitajima Y FAU - Seishima, Mariko AU - Seishima M LA - eng PT - Case Reports PT - Journal Article DEP - 20111202 PL - England TA - J Dermatol JT - The Journal of dermatology JID - 7600545 RN - 0 (Antibodies, Antinuclear) RN - 0 (Dermatologic Agents) RN - 0 (HLA Antigens) RN - 9PHQ9Y1OLM (Prednisolone) RN - MRK240IY2L (Azathioprine) SB - IM MH - Adult MH - Antibodies, Antinuclear/blood/immunology MH - Azathioprine/therapeutic use MH - Dermatologic Agents/therapeutic use MH - Exanthema/diagnosis MH - Female MH - HLA Antigens/analysis/genetics/immunology MH - Humans MH - Lupus Erythematosus, Systemic/*diagnosis/drug therapy/genetics MH - Photosensitivity Disorders/diagnosis/immunology MH - Prednisolone/therapeutic use MH - Raynaud Disease/diagnosis/immunology MH - Siblings MH - Treatment Outcome MH - Young Adult EDAT- 2011/12/03 06:00 MHDA- 2012/05/23 06:00 CRDT- 2011/12/03 06:00 PHST- 2011/12/03 06:00 [entrez] PHST- 2011/12/03 06:00 [pubmed] PHST- 2012/05/23 06:00 [medline] AID - 10.1111/j.1346-8138.2011.01333.x [doi] PST - ppublish SO - J Dermatol. 2012 Feb;39(2):164-7. doi: 10.1111/j.1346-8138.2011.01333.x. Epub 2011 Dec 2.