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.0302 were associated with erosive disease. While the authors conclude these data show that the need for HLA-DRB1 typing to guide aggressive therapy is questionable, nevertheless, the association with early erosive disease underscores that HLA-DRB1 alleles affect the course of RA.
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.0411, which is a uniquely Mexican/Native American DR4 subtype and does not encode the SE. In fact, the SE was only "modestly" increased in frequency compared to controls. Except for an association of the SE with the physician's estimate of disease severity, no other disease features were predicted by either the presence or dosage of HLA-DRB1 alleles encoding the SE. These data suggest that the course of RA in Hispanics, like in African-Americans, is not strongly affected by HLA-DRB1 alleles.
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