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Onset of HLA-B27-associated diseases in diabetic patient during a period of religious fasting: A case report.

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
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Authors

Mayor MeshTerms

Colitis, Ulcerative

Spondylitis, Ankylosing

Uveitis, Anterior

Keywords
Journal Title medicine
Publication Year Start




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.