Biomedical subjects
Publications and source records attributed to O Gidoni.
The prevalence of pseudoexfoliation among patients of Sephardic origin was more than twice the expected when compared with the ethnic distribution of the population consulting the Rambam Medical Center eye clinic. A strong association between brown irises and pseudoexfoliation was noted. No uniform scanning electron microscope pattern was seen of the pseudoexfoliation.
The association between Sjögren's syndrome and the HL-A system is still a matter of controversy, because there are conflicting data as to whether this syndrome is linked with HL-A B8 and Dw3. In an attempt to study this possible linkage, a survey of HL-A antigens among a homogenous group of East European (Ashkenazi) Jews was undertaken. The tissue typing of 30 patients with sicca syndrome (SS), 18 patients with rheumatoid arthritis and Sjögren's syndrome (RASS), and 80 healthy controls of the same ethnic group was analyzed. Neither sicca syndrome nor rheumatoid arthritis with Sjögren's syndrome was associated with HL-A B8 or any other antigen. The difference between our results and previous studies is discussed.
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The occurrence of acute anterior uveitis in ankylosing spondylitis was compared in 53 HLA-B 27 positive and 12 HLA-B 27 negative patients with this disease. Uveitis was found in HLA-B 27 positive patients only. These results suggest that uveitis and ankylosing spondylitis are independent diseases occurring on their own and strongly associated with HLA-B 27.
Histocompatibility antigens (HL-A) were studied in a family with Behçet's disease (BD). All who had symptoms or signs of BD had either HL-A B5 or BW35, or both. The increased number of families with BD recently reported supports the suggestion that positive family history may assist the diagnosis of BD.
Incomplete Reiter's syndrome (ICRS) and incomplete Behçet's disease (ICBD) have many similar clinical features, making the diagnosis difficult. The association of RS and BD with different HL-A antigens is a help in differentiating between the two diseases. Eight patients with incomplete rheumatic syndrome are described. The results of HL-A typing suggest that five patients had incomplete RS and the other three incomplete BD. The value of tissue typing in the correct diagnosis of incomplete rheumatic syndrome is stressed.
Uveitis and ankylosing spondylitis coexisted in a family. Tissue typing of the family revealed the HL-A 27 antigen in five members: two had uveitis; two had ankylosing spondylitis; and one was asymptomatic. These diseases did not coexist in any one member of the family.
A patient with psoriasis and anterior uveitis is described. In her family the two entities of iridocyclitis and psoriasis occurred separately in two generations and appeared associated in the third generation. Tissue typing of the family revealed HL-A 27 antigen in two members and HL-A 17 in the other two members. The possible relevance of HL-A antigens to the two clinical entities is discussed.