PMID- 25827511 OWN - NLM STAT- MEDLINE DCOM- 20160115 LR - 20220331 IS - 1445-5994 (Electronic) IS - 1444-0903 (Print) IS - 1444-0903 (Linking) VI - 45 IP - 4 DP - 2015 Apr TI - Appropriate clinical use of human leukocyte antigen typing for coeliac disease: an Australasian perspective. PG - 441-50 LID - 10.1111/imj.12716 [doi] AB - The past decade has seen human leukocyte antigen (HLA) typing emerge as a remarkably popular test for the diagnostic work-up of coeliac disease with high patient acceptance. Although limited in its positive predictive value for coeliac disease, the strong disease association with specific HLA genes imparts exceptional negative predictive value to HLA typing, enabling a negative result to exclude coeliac disease confidently. In response to mounting evidence that the clinical use and interpretation of HLA typing often deviates from best practice, this article outlines an evidence-based approach to guide clinically appropriate use of HLA typing, and establishes a reporting template for pathology providers to improve communication of results. CI - (c) 2015 The Authors. Internal Medicine Journal published by Wiley Publishing Asia Pty Ltd on behalf of Royal Australasian College of Physicians. FAU - Tye-Din, J A AU - Tye-Din JA AD - Immunology Division, The Walter and Eliza Hall Institute of Medical Research, Melbourne, Victoria, Australia; Departments of Medical Biology, The University of Melbourne, Melbourne, Victoria, Australia; Department of Gastroenterology, The Royal Melbourne Hospital, Melbourne, Victoria, Australia; Medical Advisory Committee, Coeliac Australia, Melbourne, Victoria, Australia. FAU - Cameron, D J S AU - Cameron DJ FAU - Daveson, A J AU - Daveson AJ FAU - Day, A S AU - Day AS FAU - Dellsperger, P AU - Dellsperger P FAU - Hogan, C AU - Hogan C FAU - Newnham, E D AU - Newnham ED FAU - Shepherd, S J AU - Shepherd SJ FAU - Steele, R H AU - Steele RH FAU - Wienholt, L AU - Wienholt L FAU - Varney, M D AU - Varney MD LA - eng PT - Journal Article PL - Australia TA - Intern Med J JT - Internal medicine journal JID - 101092952 RN - 0 (HLA Antigens) SB - IM MH - Australasia/epidemiology MH - Celiac Disease/blood/*epidemiology/*genetics MH - Genetic Predisposition to Disease/epidemiology/genetics MH - HLA Antigens/blood/*genetics MH - Histocompatibility Testing/methods/*statistics & numerical data MH - Humans PMC - PMC4405087 OTO - NOTNLM OT - HLA typing OT - coeliac disease OT - diagnostics EDAT- 2015/04/02 06:00 MHDA- 2016/01/16 06:00 PMCR- 2015/04/21 CRDT- 2015/04/02 06:00 PHST- 2014/09/03 00:00 [received] PHST- 2015/01/08 00:00 [accepted] PHST- 2015/04/02 06:00 [entrez] PHST- 2015/04/02 06:00 [pubmed] PHST- 2016/01/16 06:00 [medline] PHST- 2015/04/21 00:00 [pmc-release] AID - 10.1111/imj.12716 [doi] PST - ppublish SO - Intern Med J. 2015 Apr;45(4):441-50. doi: 10.1111/imj.12716.