In common with most autoimmune diseases, psoriasis is associated with some
HLA antigens, We studied the distribution of HLA antigens in Croatian patie
nts with psoriasis: 108 patients were divided into groups according to fami
ly history and age of disease onset. KLA antigens were analyzed serological
ly and HLA-C alleles were analyzed using polymerase chain reaction. We foun
d significant increases in HLA-AZ, -B17, -B37 and -B13 antigens and highly
significant increases in HLA-Cw*0602 and DR7 antigens in psoriatic patients
compared with controls. Patients with type I psoriasis (early onset, posit
ive family history) showed highly significant associations with Cw*0602 [p<
0.00001; relative risk (RR)=14.45] and DR7 (p<0.00001; RR=15.09) antigens.
Patients with type II psoriasis (late onset, no family history) had a signi
ficant association with Cw*03 antigen (p=0.008; RR=0.17). In conclusion, HL
A-B13, -B17, Cw*0602 and -DR7 antigens are associated with a significant ri
sk of psoriasis in the Croatian population and the Cw*0602 allele has the s
trongest association, especially for type I psoriasis.