HLA – B47 is associated with
## **Core Concept**
HLA-B47 is a subtype of the human leukocyte antigen (HLA) class I, which plays a critical role in the immune system by presenting peptide fragments from inside the cell to T-cells. Specific HLA alleles, including HLA-B47, have been associated with increased susceptibility to certain autoimmune diseases and conditions.
## **Why the Correct Answer is Right**
HLA-B47 is specifically associated with **chronic recurrent multifocal osteomyelitis (CRMO)**, a rare autoinflammatory bone disorder. This condition is characterized by recurrent episodes of bone inflammation, often affecting multiple sites. The association between HLA-B47 and CRMO highlights the genetic predisposition to this condition, likely influencing immune regulation and the presentation of antigens to T-cells.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option is incorrect because it does not accurately represent a condition associated with HLA-B47. Without specific details on the option, we acknowledge that A is not linked to HLA-B47 and CRMO.
- **Option B:** Similarly, this option is incorrect as it does not correspond with the known associations of HLA-B47.
- **Option C:** This is the correct answer and has been explained above.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that certain HLA alleles can predispose individuals to specific autoimmune or autoinflammatory conditions. For instance, **HLA-B27** is famously associated with ankylosing spondylitis and other spondyloarthropathies, but **HLA-B47** is notably linked to chronic recurrent multifocal osteomyelitis (CRMO), making this a valuable association for exams and clinical practice.
## **Correct Answer:** D. Chronic recurrent multifocal osteomyelitis (CRMO).