Onset of HLA-B27-associated diseases in diabetic patient during a period of religious fasting: A case report. |
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| Abstract | The association between human leukocyte antigen B27 (HLA-B27) with its associated diseases is far from complete. The role of HLA-B27 in disease susceptibility is still not known, although many suggestions have been proposed. |
| PMID | 29538202 |
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| Authors | |
| Mayor MeshTerms | |
| Keywords | |
| Journal Title | medicine |
| Publication Year Start | 2018-01-01 |
PMID- 29538202
OWN - NLM
STAT- MEDLINE
DCOM- 20180321
LR - 20180321
IS - 1536-5964 (Electronic)
IS - 0025-7974 (Linking)
VI - 97
IP - 11
DP - 2018 Mar
TI - Onset of HLA-B27-associated diseases in diabetic patient during a period of
religious fasting: A case report.
PG - e0104
LID - 10.1097/MD.0000000000010104 [doi]
AB - RATIONALE: The association between human leukocyte antigen B27 (HLA-B27) with its
associated diseases is far from complete. The role of HLA-B27 in disease
susceptibility is still not known, although many suggestions have been proposed.
PATIENT CONCERNS: The patient was a 46-year-old policeman with a history of
obesity, diabetes, and hypertension. He was a Shaolin lay disciple who fasted at
the Shaolin temple for at least 1 week each year since 2014. DIAGNOSES: The
patient suffered three different HLA-B27-associated diseases including acute
anterior uveitis, ulcerative colitis, and ankylosing spondylitis, from 2014 to
2016 because of prolonged fasting. INTERVENTIONS: The patient accept standard
treatment after the diagnosis of acute anterior uveitis, ulcerative colitis, and
ankylosing spondylitis. OUTCOMES: The patient's symptoms and signs of acute
anterior uveitis, ulcerative colitis, and ankylosing spondylitis were all
relieved within one week after the clinical treatment. LESSONS: Our case
suggested that prolonged fasting may lead to the onset of HLA-B27-associated
diseases in diabetic patient.
FAU - Lin, Zhenyun
AU - Lin Z
AD - Department of Obstetrics and Gynecology, Hangzhou Maternity Hospital.
FAU - Zhu, Binbin
AU - Zhu B
AD - Eye Center, Second Affiliated Hospital of Zhejiang University School of Medicine,
Hangzhou, China.
FAU - Jin, Xiuming
AU - Jin X
AD - Eye Center, Second Affiliated Hospital of Zhejiang University School of Medicine,
Hangzhou, China.
LA - eng
PT - Case Reports
PT - Journal Article
PL - United States
TA - Medicine (Baltimore)
JT - Medicine
JID - 2985248R
RN - 0 (Anti-Inflammatory Agents, Non-Steroidal)
RN - 0 (HLA-B27 Antigen)
RN - 0 (Ophthalmic Solutions)
RN - 4Q81I59GXC (Mesalamine)
SB - AIM
SB - IM
MH - Anti-Inflammatory Agents, Non-Steroidal/administration & dosage
MH - *Colitis, Ulcerative/diagnosis/drug therapy/etiology
MH - Diabetes Mellitus/diagnosis/physiopathology
MH - Diagnostic Techniques, Ophthalmological
MH - Fasting/*adverse effects
MH - HLA-B27 Antigen/*analysis
MH - Humans
MH - Male
MH - Mesalamine/*administration & dosage
MH - Middle Aged
MH - Ophthalmic Solutions/administration & dosage
MH - Recurrence
MH - *Spondylitis, Ankylosing/diagnosis/drug therapy/etiology
MH - Treatment Outcome
MH - *Uveitis, Anterior/diagnosis/drug therapy/etiology
EDAT- 2018/03/15 06:00
MHDA- 2018/03/22 06:00
CRDT- 2018/03/15 06:00
PHST- 2018/03/15 06:00 [entrez]
PHST- 2018/03/15 06:00 [pubmed]
PHST- 2018/03/22 06:00 [medline]
AID - 10.1097/MD.0000000000010104 [doi]
AID - 00005792-201803160-00008 [pii]
PST - ppublish
SO - Medicine (Baltimore). 2018 Mar;97(11):e0104. doi: 10.1097/MD.0000000000010104.