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

Table 3 Published experience of patients with rheumatic disease and underlying HBV infection treated with biological agents.

Patient No Reference Diagnosis Age/sex Biological immunosuppressive therapy Baseline serology Treatment and outcome
1 6 AS 32/M Infliximab 5 mg/kg IV × 3 (0, 2, 6 weeks) HBsAg+ HBeAg:NR Pre‐emptive LAM before infliximab × 1 year, well tolerated
2 7 RA 49/M Infliximab 6mg/kg IV every 2 months, MTX 10 mg/week × 18 months, prednisone 8 mg/day HBsAg+ HBeAg− Anti‐HBe+ Flare of HBV, infliximab and MTX stopped, treated successfully with LAM
3 5 AOSD 28/F Infliximab 5 mg/kg IV × 2 (0, 2 weeks) HBsAg+ HBeAg− Anti‐HBe+ Acute hepatitis with severe liver decompensation without evidence of HBV reactivation in serum or liver, successful liver transplantation
4 35 SpA 35/F Infliximab 5 mg/kg IV ×3 (0, 2, 6 weeks) and then every 8 weeks for 4 months HBsAg+ HBeAg− HBV reactivation, successful treatment with LAM, restarted infliximab without incident
5 4 RA 58/F Infliximab 3 mg/kg IV every 8 weeks then etanercept 25 mg SC twice weekly HBsAg+ HBeAg− Anti‐HBe+ Previously flared while receiving MTX treatment; treated pre‐emptively with LAM; infliximab and etanercept well tolerated

AS, ankylosing spondylitis; M, male; IV, intravenously; NR, not reported; LAM, lamivudine; RA, rheumatoid arthritis; MTX, methotrexate; AOSD, adult onset Still's disease; F, female; SpA, spondyloarthropathy; SC, subcutaneously.