PMID- 3262691 OWN - NLM STAT- MEDLINE DCOM- 19881108 LR - 20201214 IS - 0022-202X (Print) IS - 0022-202X (Linking) VI - 91 IP - 4 DP - 1988 Oct TI - Ro(SS-A) positive Sjogren's/lupus erythematosus (SC/LE) overlap patients are associated with the HLA-DR3 and/or DRw6 phenotypes. PG - 369-71 AB - Ro(SS-A) positive female Sjogren's syndrome (SS) lupus erythematosus (LE) overlap patients are a clinically and serologically homogeneous group generally demonstrating prominent subacute cutaneous lupus erythematosus (SCLE) lesions, cutaneous vasculitis, peripheral and central nervous system disease, pulmonary disease, and a low frequency of glomerulonephritis. They commonly demonstrate rheumatoid factor, hypergammaglobulinemia, antinuclear and Ro(SS-A) La(SS-B) antibody activity. This study indicates that these patients are also immunogenetically similar, sharing a statistically significant increased frequency of HLA-B8, DR3, DRW6, DQ2, and DRw52. Sixty-three percent of these SS/LE patients possess the extended haplotype (P-value 6.0 X 10(-3); RR 9.5) HLA-B8, DR3, DQ2, DRw52. One hundred percent of this SS/LE cohort was DR3 or DRw6 (P-value less than or equal to 5.0 X 10(-3); relative risk 19.1). Fifty percent of these patients were HLA DR3/DRw6 heterozygotes (P-value 1.5 X 10(-6); relative risk 31.2). Thus, HLA-DR3 and DRw6 Ro(SS-A) positive SS/LE patients may possess a similar, if not unique, DR region DNA nucleotide sequence involved in disease susceptibility or immune regulation. FAU - Provost, T T AU - Provost TT AD - Department of Dermatology, Johns Hopkins Medical Institutions, Baltimore, MD 21205. FAU - Talal, N AU - Talal N FAU - Bias, W AU - Bias W FAU - Harley, J B AU - Harley JB FAU - Reichlin, M AU - Reichlin M FAU - Alexander, E L AU - Alexander EL LA - eng GR - AM34159/AM/NIADDK NIH HHS/United States GR - R01 AM25650/AM/NIADDK NIH HHS/United States GR - R01 AM30487/AM/NIADDK NIH HHS/United States GR - etc. PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Invest Dermatol JT - The Journal of investigative dermatology JID - 0426720 RN - 0 (Autoantigens) RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DR3 Antigen) RN - 0 (HLA-DR6 Antigen) RN - 0 (RNA, Small Cytoplasmic) RN - 0 (RO60 protein, human) RN - 0 (Ribonucleoproteins) RN - 0 (SS-A antigen) SB - IM MH - Autoantigens/*analysis MH - Female MH - HLA-DR Antigens/*genetics MH - HLA-DR3 Antigen MH - HLA-DR6 Antigen MH - Haplotypes MH - Heterozygote MH - Humans MH - Lupus Erythematosus, Systemic/genetics/*immunology MH - Phenotype MH - *RNA, Small Cytoplasmic MH - *Ribonucleoproteins MH - Risk Factors MH - Sjogren's Syndrome/genetics/*immunology EDAT- 1988/10/01 00:00 MHDA- 1988/10/01 00:01 CRDT- 1988/10/01 00:00 PHST- 1988/10/01 00:00 [pubmed] PHST- 1988/10/01 00:01 [medline] PHST- 1988/10/01 00:00 [entrez] AID - S0022-202X(88)91844-1 [pii] AID - 10.1111/1523-1747.ep12476204 [doi] PST - ppublish SO - J Invest Dermatol. 1988 Oct;91(4):369-71. doi: 10.1111/1523-1747.ep12476204.