1.HLA DR/DQ type in a Malay population in Kelantan, Malaysia
Azira Nms ; Zeehaida M ; Nurul Khaiza Yahya
The Malaysian Journal of Pathology 2013;35(1):65-69
The human leucocyte antigen (HLA) has been documented to be involved in various disease
susceptibilities or in resistance against certain diseases. An important element in susceptibility and
resistance to disease is ethnic genetic constitution. Cognizant of this, the present study aimed at
studying the prevalence of particular HLA class II in a normal healthy Malay population which
may serve as a guide for further genetic and immunological studies related to the Malay Malaysian
population. The study involved 40 normal healthy Malay persons in Kelantan. HLA typing was
conducted on venous blood samples through a polymerase chain reaction-sequence specifi c primer
method (low resolution Olerup SSP® HLA Typing Kits). The study found HLA DR12 and HLA
DQ8 to be the most frequent HLA class II type. HLA DQ5 was signifi cantly associated with female
subjects.
2.Review of patients with Strongyloides stercoralis infestation in a tertiary teaching hospital, Kelantan
Azira NMS ; Abdel Rahman Mz ; Zeehaida M
The Malaysian Journal of Pathology 2013;35(1):71-76
Strongyloides stercoralis is an intestinal nematode infecting humans. The actual prevalence of
infestation with this parasite in our setting is not well established. Thus, this study was conducted
to determine the age, sex and co-morbid conditions among patients with S. stercoralis infestation as
well as to study the common manifestations of strongyloidiasis in our patients. Records of patients
with positive S. stercoralis larvae from January 2000 to December 2012 in Hospital Universiti Sains
Malaysia, Kubang Kerian, Kelantan were reviewed. Ten patients were male and two were female.
Their ages ranged from 19 to 78 years old. The majority (92%) of cases, presented with intestinal
symptoms and 50% with moderate to severe anaemia. Thirty percent of cases had extraintestinal
manifestations such as cough, sepsis and pleural effusion. Ninety-two percent of the patients had
a comorbid illness. Most patients were immunocompromised, with underlying diabetes mellitus,
retroviral disease, lymphoma and steroid therapy contributing to about 58% of cases. Only 58%
were treated with anti-helminthic drugs. Strongyloidiasis is present in our local setting, though the
prevalence could be underestimated.