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.