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HLA-B7 and HLA-DR2 Antigens and Acute Posterior Multifocal Placoid Pigment Epitheliopathy
Mitchell D. Wolf, MD;
James C. Folk, MD;
Carole A. Panknen, RN;
Nancy E. Goeken, PhD
Arch Ophthalmol. 1990;108(5):698-700.
Abstract
Acute posterior multifocal placoid pigment epitheliopathy is a chorioretinal inflammatory disease occurring in young, healthy adults. Its cause is unknown, although it frequently follows a flulike illness. We reexamined 30 patients with documented acute posterior multifocal placoid pigment epitheliopathy to determine their HLA class I antigen (A and B) and class II antigen (DR and DQ) distribution. The HLA class I antigen B7 was found in 12 patients (40.0%) compared with 63 controls (16.6%) (relative risk, 3.38). The class II antigen DR2 was present in 17 patients (56.7%) compared with 107 controls (28.2%) (relative risk, 3.34). The specific role of HLA antigens in uveitis is unknown, but the finding of an increased prevalence of HLA-B7 and HLA-DR2 antigens in patients with acute posterior multifocal placoid pigment epitheliopathy suggests an immunogenetic predisposition to acquiring this disease.
Author Affiliations
From the Departments of Ophthalmology (Drs Wolf and Folk, and Ms Panknen) and Internal Medicine and Pathology (Dr Goeken), University of Iowa, Iowa City.
Footnotes
Accepted for publication January 17, 1990.
Presented in part at the annual meeting of the Association for Research in Vision and Ophthalmology, Sarasota, Fla, May 2, 1989.
Reprint requests to Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242 (Dr Folk).
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