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HLAB27

Unit Test
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Details

HLA-B27 is not a disease but is strongly associated with autoimmune disorders, especially seronegative spondyloarthropathies.

7991100

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🧬 What is HLA-B27?

HLA-B27 (Human Leukocyte Antigen B27) is a protein marker found on the surface of white blood cells. It is encoded by a gene on chromosome 6 and is part of the MHC class I complex that plays a key role in immune system function.

  • The presence of HLA-B27 increases susceptibility to certain autoimmune and inflammatory disorders.
  • It is not a disease by itself but a genetic marker of risk.

🧪 Test Type

  • Type: Molecular test – PCR (Polymerase Chain Reaction) or Flow Cytometry
  • Sample: Peripheral blood (EDTA tube)
  • Turnaround Time: Usually 2–5 working days

❓ Why is the HLA-B27 Test Done?

To:

  • Support diagnosis of seronegative spondyloarthropathies
  • Investigate chronic inflammatory back pain or joint stiffness
  • Evaluate patients with recurrent uveitis
  • Assess risk in individuals with family history of autoimmune conditions

📈 Interpretation of Results

Result

Meaning

Positive

HLA-B27 gene present → higher risk of autoimmune disorders

Negative

HLA-B27 gene absent → disease less likely, but not ruled out completely

Around 90–95% of patients with ankylosing spondylitis (AS) are HLA-B27 positive, but only 5–10% of HLA-B27 positive people develop AS.

🧠 Associated Conditions

System

Conditions Strongly Linked to HLA-B27

Musculoskeletal

Ankylosing spondylitis, Reactive arthritis (Reiter’s), Psoriatic arthritis (esp. axial), Enteropathic arthritis

Ocular

Acute anterior uveitis, iritis

Gastrointestinal

Inflammatory bowel disease (with joint involvement)

Dermatologic

Psoriasis with arthritis

🔄 Related / Follow-Up Tests

  • ESR / CRP – Inflammatory markers
  • MRI / X-Ray of sacroiliac joints – Especially in ankylosing spondylitis
  • Rheumatoid Factor (RF), Anti-CCP – To differentiate from rheumatoid arthritis
  • ANA – To rule out lupus
  • Uveitis work-up – In case of eye involvement

✅ Fasting Required?

Test

Fasting Requirement

HLA-B27

❌ Not required

📝 Summary Table

Parameter

Description

What

Detects HLA-B27 genetic marker associated with autoimmune diseases

Why

Supports diagnosis of seronegative spondyloarthropathies and uveitis

Result Interpretation

Positive = higher disease risk; Negative = lower risk

Associated Conditions

Ankylosing spondylitis, reactive arthritis, uveitis, IBD-related arthritis

Follow-up Tests

ESR, CRP, MRI, RF, Anti-CCP, ANA

Fasting Required

❌ No

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