Objective. To determine whether HLA-B27 positive patients with ankylosing spondylitis (AS) and reactive arthritis (ReA) share additional HLA factors that confer disease susceptibility.Methods. HLA class I antigens were typed serologically, and class I1 antigens molecularly, in samples taken from 33 patients with AS, 30 patients with ReA, and 55 healthy HLA-B27 positive controls.Results. There was no major difference between the HLA alleles in AS and ReA patients, but deviations were observed when compared with healthy controls, especially between the antigens that were probably encoded by genes in the non-B27 chromosome.Conclusion. These results suggest that both HLA class I and class I1 genes may influence the pathogenesis of HLA-B27 positive ReA, whereas class I antigens seem to be the major additional genetic factors in HLA-B27 positive AS.Reactive arthritis (ReA) is a seronegative spondylarthropathy in which a genetically directed response to environmental factors triggers the disease. In ReA, the pathogenic environmental factors are certain types of bacteria, but in ankylosing spondylitis (AS), which is the prototype and most severe form of seronegative spondylarthropathy, the pathogenic factors remain unidentified despite intensive research (1-4).The relationship between AS and ReA is complex. Although AS has been suggested to be an endpoint