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. 2006 Aug;65(8):983–989. doi: 10.1136/ard.2005.043257

Table 2 Published reports of HBV reactivation in patients with rheumatic disease treated with non‐biological immunosuppressive drugs*.

Patient No Reference Diagnosis Age/sex Immunosuppressive regimen Time to flare Treatment and outcome
1 31 RA 72/F MTX, 4 mg/week 2 years 60 days† IFN, GC, CsA
PSL, 5 mg/day Died
2 32 RA 75/F MTX, 7.5 mg/week 15 days† Plasmapheresis, IFN
PSL, 5 mg/day Died
3 34 RA 67/M MTX, 7.5 mg/week 21 days† GC
PSL, 5 mg/day Died
4 30 RA 57/F MTX, 7.5–10 mg/week 41 days† Liver transplant
PSL, 5 mg/day Alive
5 4 RA 58/F MTX, 15 mg/week 2 years chronic treatment LAM
PSL, 7.5 mg/day Alive
6 33 PM 57/F PSL, 40 mg/day 40 days chronic treatment IFN, CsA
Recovered
7 29 Behçet's disease 43/M Cyclo, IVMP 2 years chronic treatment; 10 days† GC
Died

* Baseline serology in each case was HBsAg+ HBeAg−; †indicates time between discontinuation or reduction of immunosuppressive therapy and hepatitis B flare.

RA, rheumatoid arthritis; PM, polymyositis; F, female; M, male; MTX, methotrexate; PSL, prednisone or prednisolone; Cyclo, cyclophosphamide; IVMP, intravenous methyprednisolone; IFN, interferon; GC, glucocorticoids; CsA, ciclosporin A; LAM, lamivudine.