Aj. Macgregor et al., AN IDENTICAL TWIN PAIR DISCORDANT FOR RHEUMATOID-ARTHRITIS AND ANKYLOSING-SPONDYLITIS, Clinical and experimental rheumatology, 11(4), 1993, pp. 425-428
Both rheumatoid arthritis (RA) and ankylosing spondylitis (AS) have an
increased familial occurrence and each disease is associated with the
inheritance of specific HLA antigens. We report a pair of identical t
win brothers with discordant disease phenotypes: one developed AS at t
he age of 26, and the other developed RA at the age of 55. The twins p
ossessed both of the disease susceptibility antigens HLA B27 and DR4.
Differences in the twins' environmental exposure are discussed.