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HLA B27 Disease refers to a group of autoimmune and inflammatory disorders strongly associated with the HLA-B27 gene. These conditions include ankylosing spondylitis, reactive arthritis, and other spondyloarthropathies that cause chronic inflammation in the spine and joints. The HLA B Low Resolution test is the most important test for diagnosis because it identifies the presence of the HLA-B27 genetic marker.
HLA B27 Disease is caused by the presence of the HLA-B27 gene, a genetic marker that significantly increases the risk of developing autoimmune and inflammatory conditions. This gene affects how your immune system responds to certain infections and triggers, leading to chronic inflammation in the spine, joints, and other body systems. The HLA-B27 gene is inherited from parents, and while not everyone with this gene develops disease, it creates a strong predisposition to conditions like ankylosing spondylitis, reactive arthritis, psoriatic arthritis, and inflammatory bowel disease-associated arthritis.
The HLA B Low Resolution test is the most important test for HLA B27 Disease because it identifies the presence of the HLA-B27 genetic marker in your blood. This genetic test detects specific HLA-B alleles, including HLA-B27, which is strongly associated with spondyloarthropathies and inflammatory joint conditions. The test provides essential information for diagnosing ankylosing spondylitis, reactive arthritis, and other HLA-B27-related disorders. When combined with clinical symptoms, imaging studies, and inflammatory markers like ESR and CRP, the HLA B Low Resolution test helps healthcare providers confirm diagnosis and guide treatment decisions for these chronic inflammatory conditions.
You should get tested if you experience chronic lower back pain that improves with exercise but not rest, especially if the pain started before age 40 and wakes you at night. Testing is also important if you have persistent joint pain and stiffness, unexplained inflammation in your eyes (uveitis), or a family history of ankylosing spondylitis or related conditions. You should consider testing if you develop arthritis after an infection, have psoriasis with joint symptoms, or experience inflammatory bowel disease with back or joint pain, as these are common presentations of HLA B27-associated disorders.
What this means
Your test shows you carry the HLA-B27 genetic marker, which is associated with increased risk for certain autoimmune conditions like ankylosing spondylitis and reactive arthritis. While this doesn't mean you'll definitely develop these conditions, it's important to be aware of early warning signs like chronic back pain or joint inflammation and maintain proactive immune health.
Recommended actions
Monitor for symptoms like chronic lower back stiffness, especially in the morning
Follow an anti-inflammatory diet rich in omega-3s, vegetables, and whole foods
Maintain regular exercise focusing on flexibility and posture
Discuss preventive strategies with a rheumatologist if you develop symptoms
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