Rheumatology · NEET PG Preparation Medicine

A 45-year-old man presents with inflammatory low back pain and morning stiffness that improves with exercise, lasting for over 3 years. He also devel…

Practice question from Rheumatology (NEET PG Preparation Medicine), with the correct answer and a step-by-step solution.

easy · MCQ · Q-7BE860

A 45-year-old man presents with inflammatory low back pain and morning stiffness that improves with exercise, lasting for over 3 years. He also develops asymmetric oligoarthritis of the lower limbs. Radiography of the pelvis reveals bilateral sacroiliitis. Which of the following human leukocyte antigens (HLA) is most strongly associated with this condition?

  1. A.HLA-B27Correct answer
  2. B.HLA-DR4
  3. C.HLA-DQ2
  4. D.HLA-B51

Solution

Ankylosing spondylitis is a seronegative spondyloarthropathy strongly associated with HLA-B27, which is present in over 90% of patients with the disease.

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