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General Medicine · Rheumatology: Behcet disease
Sample itemA young man from the Silk Route region has recurrent oral and genital ulcers, uveitis and a papule at needle-prick sites. Which HLA is associated?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. HLA-B51
Behcet disease is a variable vessel vasculitis with recurrent oral aphthae, genital ulcers, uveitis and a positive pathergy test, and is associated with HLA-B51. Vascular involvement includes venous thrombosis. Colchicine, steroids and immunosuppressants are used.
Option by option
A. HLA-B27
HLA-B27 is associated with ankylosing spondylitis.
B. HLA-B51 (correct)
Correct. HLA-B51 is associated with Behcet disease.
C. HLA-DQ2
HLA-DQ2 is associated with coeliac disease.
D. HLA-DR3
HLA-DR3 is associated with several autoimmune diseases, not Behcet.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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