[Extensive hyperglycemia with hyperosmolar precoma during general corticotherapy for mycosis fungoides].
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Biomedical subjects
Publications and source records attributed to J Seignalet.
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HL-A typing has been carried out in 100 caucasians with Graves' disease and compared with 270 healthy controls. 25 HL-A antigens were characterized using a lymphocytotoxicity microtechnique. Analysis of the results reveals an increased incidence of HL-A8 antigen (35% in patients as compared to 16,3% in controls), with a high degree of statistical significance: p=0.0002 and corrected p X 25) = 0.005. We did not observe a clearcut correlation between the presence of HL-A8 and different characteristics of the disease: sex, age of onset, familial history, exophtalmia, goiter, severity. The knowledge of the relationships between the HL-A8 gene and several auto-immune diseases is a strong argument in favor of the auto-immune nature of Graves' disease. The association between HL-A8 and Graves' disease could be explained by a close linkage between the second HL-A locus and one or several Ir-IgG loci occupied in predisposed individuals by predisposing alleles. In these subjects, an antigenic contact with an exogenous etiological agent would induce a pathological immune response, with production of thyroid stimulating IgG.
HLA typing has been carried out in 100 caucasions with Graves' disease and compared with 270 healthy controls. 25 HL-A antigens were characterized using a lymphocytotoxicity micro-technique. Analysis of the results reveals an increased incidence of HLA-B8 antigen (35% in patients as compared to 16.3% in controls) with a high degree of statistical significance: p = 0.0002 and corrected p (X 25) = 0.005. We did not observe a clear-cut correlation between the presence of HLA-B8 and different characteristics of the disease: sex, age of onset, familial history, exophtalmia, goiter, severity. The knowledge of the relationships between the HLA B8 gene and several auto-immune diseases is a strong argument in favor of the auto-immune nature of Graves' disease. The association between HLA B8 and Graves' disease could be explained by a close linkage between the second HLA locus and one or several Ir-IrG loci, occupied in predisposed individuals by "predisposing" alleles. In these subjects, an antigenic contact with an exogenous etiological agent would induce a pathological immune response, with production of thyroid stimulating IgG.
The HL-A groups, including the characteristics of 25 antigens, were measured in 61 patients suffering from psoriatic rheumatism, among them 9 with central forms (pelvispondylitis) and 52 with peripheral forms (polyarthritis with or without sacroileitis). Analysis of the results and comparison of them with those of other workers led to the following conclusions: 1) Central psoriatic rheumatism is associated mainly with W27 and Da31, less closely with HL-A13, and slightly or not at all with W17. 2) Peripheral psoriatic rheumatism has the same relationship with the HL-A system as has psoriasis without anthropathy. It is associated mainly with W17, less closely with Da31 and HL-A13, and slightly or not at all with W27. 3) By their relationship to the HL-A system, the two varieties of psoriatic rheumatism may be clearly distinguished from one another and from other inflammatory rheumatisms. The HL-A groupings are of considerable value in the differential diagnosis between central psoriatic rheumatism, peripheral psoriatic rheumatism, ankylosing spondylarthritis, the Fiessinger-Leroy-Reiter syndrome and rheumatoid arthritis.
52 patients with amyotrophic lateral sclerosis and 300 normal subjects were tested for 33 HLA-A, B, C antigens. We did not observe any statistically significant difference in antigenic frequencies between the two groups. The absence of association with HLA in amyotrophic lateral sclerosis is a distinction with multiple sclerosis, which is associated with several HLA antigens.
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HLA-B27 antigen is strongly correlated with ankylosing spondylitis and several other rheumatic diseases. However, data concerning frozen shoulder are contradictory. Bulgen reported an increased frequency of HLA-B27 which was not observed by Noy. We performed HLA typing of 46 French patients with frozen shoulder. We agree with Noy: frozen shoulder is not correlated with HLA-B27.