In the 16 cases of familial HCL published, different HLA have been fou
nd. Although specific HLA antigens were found to have the same structu
re in some cases that suggests a genetic predisposition to HCL. Enviro
nmental factors, specifically farming labours, were implicated in too.
We add two cases (father and son, both farmers), Their HLA haplotype
has not been described, but the type A2Bw4Bw6 and awe, presented in fa
ther and/or son, have been.