PMID- 35127912 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220208 IS - 2307-8960 (Print) IS - 2307-8960 (Electronic) IS - 2307-8960 (Linking) VI - 10 IP - 3 DP - 2022 Jan 21 TI - Occurrence of human leukocyte antigen B51-related ankylosing spondylitis in a family: Two case reports. PG - 992-999 LID - 10.12998/wjcc.v10.i3.992 [doi] AB - BACKGROUND: Ankylosing spondylitis (AS) is strongly associated with the human leukocyte antigen (HLA) B27 haplotype. In regions where conventional polymerase chain reaction for HLA typing is available for antigens such as HLA B27 or HLA B51, it is common to perform the HLA B27 test for evaluation of AS. While HLA B27-associated clustered occurrences of AS have been reported in families, we report the first case series of HLA B51-related occurrences of AS in a family. CASE SUMMARY: A father and his daughters were diagnosed with AS and did not have the HLA B27 haplotype. Although they were positive for HLA B51, they exhibited no signs of Behcet's disease (BD). Of the five daughters, one had AS, and three, including the daughter with AS, were positive for HLA B51. The two daughters with the HLA B51 haplotype (excluding the daughter with AS) exhibited bilateral grade 1 sacroiliitis, whereas the daughters without the HLA B51 haplotype did not have sacroiliitis. Thus, this Korean family exhibited a strong association with the HLA B51 haplotype and clinical sacroiliitis, irrespective of the symptoms of BD. CONCLUSION: It is advisable to check for HLA B51 positivity in patients with AS/spondyloarthropathy who test negative for HLA B27. CI - (c)The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. FAU - Lim, Mie Jin AU - Lim MJ AD - Rheumatology/Internal Medicine, Inha University, Incheon 22332, South Korea. FAU - Noh, Eul AU - Noh E AD - Rheumatology/Internal Medicine, Inha University, Incheon 22332, South Korea. FAU - Lee, Ro-Woon AU - Lee RW AD - Radiology, Inha University, Incheon 22332, South Korea. FAU - Jung, Kyong-Hee AU - Jung KH AD - Rheumatology/Internal Medicine, Inha University, Incheon 22332, South Korea. FAU - Park, Won AU - Park W AD - Rheumatology/Internal Medicine, Inha University, Incheon 22332, South Korea. parkwon@inha.ac.kr. LA - eng PT - Case Reports PL - United States TA - World J Clin Cases JT - World journal of clinical cases JID - 101618806 PMC - PMC8790467 OTO - NOTNLM OT - Ankylosing spondylitis OT - Case report OT - Human leukocyte antigen B27 OT - Human leukocyte antigen B51 OT - Sacroiliitis OT - Spondyloarthropathy COIS- Conflict-of-interest statement: The authors have no potential conflicts of interest to disclose. EDAT- 2022/02/08 06:00 MHDA- 2022/02/08 06:01 PMCR- 2022/01/21 CRDT- 2022/02/07 05:35 PHST- 2021/02/26 00:00 [received] PHST- 2021/10/27 00:00 [revised] PHST- 2021/12/25 00:00 [accepted] PHST- 2022/02/07 05:35 [entrez] PHST- 2022/02/08 06:00 [pubmed] PHST- 2022/02/08 06:01 [medline] PHST- 2022/01/21 00:00 [pmc-release] AID - 10.12998/wjcc.v10.i3.992 [doi] PST - ppublish SO - World J Clin Cases. 2022 Jan 21;10(3):992-999. doi: 10.12998/wjcc.v10.i3.992.