PMID- 3415279 OWN - NLM STAT- MEDLINE DCOM- 19880926 LR - 20190717 IS - 0003-987X (Print) IS - 0003-987X (Linking) VI - 124 IP - 9 DP - 1988 Sep TI - Association of herpes simplex virus-induced erythema multiforme with the human leukocyte antigen DQw3. PG - 1372-5 AB - We studied the genetic markers in human leukocyte antigen (HLA) region HLA-A, -B, -C, -DR, -DQ, C2, Bf, C4A, and C4B of 31 patients with erythema multiforme (EM) and their families. In contrast to the complement allotypes, which showed no deviation from the distribution in the normal population, two HLA class II antigens occurred in much higher frequency in patients with EM. The frequency of HLA-DQw3 (77.4%) increased with high significance compared with normal Caucasian control individuals (41.2%). An even stronger DQw3 association was found in the patient group with postherpetic EM (88.8%; relative risk, 9.41). Interestingly, all patients suffering from frequently recurrent EM were found to have the DQw3 allele (relative risk 44.2). The previously reported association to HLA-B15 was also seen and may be due to a linkage disequilibrium with the HLA-DR4 allele (66.6% in recurrent EM). Our data provide further evidence that classic recurrent EM is related to herpes simplex virus infection and should be regarded as a distinct entity within the enigmatic EM syndrome. DQw3 may serve as a helpful marker for distinguishing this entity from other diseases with EM-like lesions. FAU - Kampgen, E AU - Kampgen E AD - Institut fur Immunologie, Ludwig-Maximilians-Universitat, Munich, West Germany. FAU - Burg, G AU - Burg G FAU - Wank, R AU - Wank R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Arch Dermatol JT - Archives of dermatology JID - 0372433 RN - 0 (HLA-D Antigens) RN - 0 (HLA-DQ Antigens) RN - 0 (HLA-DQ3 antigen) RN - 0 (HLA-DR Antigens) SB - IM MH - Adolescent MH - Adult MH - Erythema Multiforme/*immunology MH - Female MH - HLA-D Antigens/*analysis MH - HLA-DQ Antigens/*analysis/genetics MH - HLA-DR Antigens/analysis MH - Herpes Simplex/*complications MH - Humans MH - Male MH - Middle Aged EDAT- 1988/09/01 00:00 MHDA- 1988/09/01 00:01 CRDT- 1988/09/01 00:00 PHST- 1988/09/01 00:00 [pubmed] PHST- 1988/09/01 00:01 [medline] PHST- 1988/09/01 00:00 [entrez] AID - 10.1001/archderm.1988.01670090028005 [doi] PST - ppublish SO - Arch Dermatol. 1988 Sep;124(9):1372-5. doi: 10.1001/archderm.1988.01670090028005.