Lichen sclerosus in adult men: a study of HLA associations and susceptibility to autoimmune disease.

Lichen sclerosus is a skin disorder of unknown prevalence affecting both men and women, and several studies have established HLA associations in women with this disease. Autoimmune disease associations in the form of a personal and/or family history of autoimmune disease have also been shown to be r...

Full description

Bibliographic Details
Main Authors: Azurdia, R, Luzzi, G, Byren, I, Welsh, K, Wojnarowska, F, Marren, P, Edwards, A
Format: Journal article
Language:English
Published: 1999
_version_ 1826257584956375040
author Azurdia, R
Luzzi, G
Byren, I
Welsh, K
Wojnarowska, F
Marren, P
Edwards, A
author_facet Azurdia, R
Luzzi, G
Byren, I
Welsh, K
Wojnarowska, F
Marren, P
Edwards, A
author_sort Azurdia, R
collection OXFORD
description Lichen sclerosus is a skin disorder of unknown prevalence affecting both men and women, and several studies have established HLA associations in women with this disease. Autoimmune disease associations in the form of a personal and/or family history of autoimmune disease have also been shown to be related to lichen sclerosus. In this study, we examined 58 men (mean age 38 years) with lichen sclerosus, 39 of whom had histologically proven disease. HLA tissue typing by phototyping was performed on these patients and contrasted with that of 602 control subjects. There was no difference in antigen frequencies of the HLA class I loci. The patient group was found to have an increased frequency of several HLA antigens of the class II loci: DR11, 13 of 58 (22%) patients vs. 75 of 602 (13%) control subjects (P = 0.05); DR12, five of 58 (9%) patients vs. 16 of 602 (3%) control subjects (P = 0.04); DQ7, 26 of 58 (45%) patients vs. 189 of 602 (31%) control subjects (P = 0.05). There were few autoimmune disease associations: two of 58 (3%) patients had a personal history of a different autoimmune disease, two patients were found to have abnormal thyroid function and six of 58 (10%) had a first-degree relative with an autoimmune disease. There was no difference in the frequency of the autoimmune haplotype HLA A1, B8, DR3/17, DQ2 compared with the control population. HLA DQ7 has now been shown to occur more frequently in both male and female patients with lichen sclerosus, which may reflect the immunopathogenesis of the disease. Autoimmune disease associations, however, are less common in men with lichen sclerosus.
first_indexed 2024-03-06T18:20:31Z
format Journal article
id oxford-uuid:061d768d-ada5-4688-a7d8-29e08171f218
institution University of Oxford
language English
last_indexed 2024-03-06T18:20:31Z
publishDate 1999
record_format dspace
spelling oxford-uuid:061d768d-ada5-4688-a7d8-29e08171f2182022-03-26T09:00:58ZLichen sclerosus in adult men: a study of HLA associations and susceptibility to autoimmune disease.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:061d768d-ada5-4688-a7d8-29e08171f218EnglishSymplectic Elements at Oxford1999Azurdia, RLuzzi, GByren, IWelsh, KWojnarowska, FMarren, PEdwards, ALichen sclerosus is a skin disorder of unknown prevalence affecting both men and women, and several studies have established HLA associations in women with this disease. Autoimmune disease associations in the form of a personal and/or family history of autoimmune disease have also been shown to be related to lichen sclerosus. In this study, we examined 58 men (mean age 38 years) with lichen sclerosus, 39 of whom had histologically proven disease. HLA tissue typing by phototyping was performed on these patients and contrasted with that of 602 control subjects. There was no difference in antigen frequencies of the HLA class I loci. The patient group was found to have an increased frequency of several HLA antigens of the class II loci: DR11, 13 of 58 (22%) patients vs. 75 of 602 (13%) control subjects (P = 0.05); DR12, five of 58 (9%) patients vs. 16 of 602 (3%) control subjects (P = 0.04); DQ7, 26 of 58 (45%) patients vs. 189 of 602 (31%) control subjects (P = 0.05). There were few autoimmune disease associations: two of 58 (3%) patients had a personal history of a different autoimmune disease, two patients were found to have abnormal thyroid function and six of 58 (10%) had a first-degree relative with an autoimmune disease. There was no difference in the frequency of the autoimmune haplotype HLA A1, B8, DR3/17, DQ2 compared with the control population. HLA DQ7 has now been shown to occur more frequently in both male and female patients with lichen sclerosus, which may reflect the immunopathogenesis of the disease. Autoimmune disease associations, however, are less common in men with lichen sclerosus.
spellingShingle Azurdia, R
Luzzi, G
Byren, I
Welsh, K
Wojnarowska, F
Marren, P
Edwards, A
Lichen sclerosus in adult men: a study of HLA associations and susceptibility to autoimmune disease.
title Lichen sclerosus in adult men: a study of HLA associations and susceptibility to autoimmune disease.
title_full Lichen sclerosus in adult men: a study of HLA associations and susceptibility to autoimmune disease.
title_fullStr Lichen sclerosus in adult men: a study of HLA associations and susceptibility to autoimmune disease.
title_full_unstemmed Lichen sclerosus in adult men: a study of HLA associations and susceptibility to autoimmune disease.
title_short Lichen sclerosus in adult men: a study of HLA associations and susceptibility to autoimmune disease.
title_sort lichen sclerosus in adult men a study of hla associations and susceptibility to autoimmune disease
work_keys_str_mv AT azurdiar lichensclerosusinadultmenastudyofhlaassociationsandsusceptibilitytoautoimmunedisease
AT luzzig lichensclerosusinadultmenastudyofhlaassociationsandsusceptibilitytoautoimmunedisease
AT byreni lichensclerosusinadultmenastudyofhlaassociationsandsusceptibilitytoautoimmunedisease
AT welshk lichensclerosusinadultmenastudyofhlaassociationsandsusceptibilitytoautoimmunedisease
AT wojnarowskaf lichensclerosusinadultmenastudyofhlaassociationsandsusceptibilitytoautoimmunedisease
AT marrenp lichensclerosusinadultmenastudyofhlaassociationsandsusceptibilitytoautoimmunedisease
AT edwardsa lichensclerosusinadultmenastudyofhlaassociationsandsusceptibilitytoautoimmunedisease