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. 2021 Aug 4;85(5):1274–1284. doi: 10.1016/j.jaad.2021.07.054

Table III.

Current society recommendations regarding COVID-19 vaccination

Society Recommendations
National Psoriasis Foundation33
  • All patients with psoriasis should accept a vaccine as soon as it becomes available to them

  • Psoriasis and/or psoriatic arthritis are not contraindications to vaccination

International Psoriasis Council34
  • No specific guidance regarding vaccination

  • Stated that registry data should be collected to inform whether SARS-CoV-2 vaccines either positively or negatively affect psoriasis outcome

International Pemphigus and Pemphigoid Foundation35
  • Patients with autoimmune bullous diseases should be vaccinated when a vaccine is available to them, as these patients are also at high risk for complications of COVID-19

  • In most cases, immunosuppressive treatment should not be interrupted to receive a vaccine as this could result in relapse or flare of disease

  • In patients treated with rituximab, vaccination should be completed 2 weeks prior to the start of rituximab treatment whenever possible, otherwise it is best to wait 4-6 months after the last rituximab infusion

National Eczema Association36
  • Atopic dermatitis is not a contraindication to vaccination

  • Any patients with history of anaphylaxis or reaction to a vaccine ingredient should consult with their allergist prior to vaccination

Hidradenitis Suppurativa Foundation37
  • People with HS are not at increased risk for severe COVID-19 due to HS or any subsequent treatment and should be able to safely receive the vaccine when it is available to them

  • Patients should not stop any biologics in order to receive a vaccine and should speak to their physician regarding any concerns

American College of Rheumatology38,39
  • Patients with autoimmune and inflammatory rheumatologic disease should be prioritized for vaccination

  • For patients with rheumatologic conditions, the theoretical risk of disease flares due to COVID-19 vaccination is outweighed by the definite risk of severe COVID-19 infection

  • For those with well-controlled disease: recommend to hold methotrexate and JAK inhibitors for one week after each vaccine dose, to hold subcutaneous abatacept 1 week prior to and after the first COVID-19 vaccine dose only, and that patients taking cyclophosphamide should time their infusion to be 1 week after each vaccine dose if possible

  • In patients treated with rituximab: vaccine series should be initiated 4 weeks prior to the next scheduled cycle, and the next dose be delayed for 2-4 weeks after the second vaccine dose, if the patient's disease activity allows

  • No recommendation for dose or timing modifications for patients taking oral steroids, hydroxychloroquine, IVIG, apremilast, sulfasalazine, leflunamide, oral cyclophosphamide, azathioprine, TNFi, IL-17 inhibitors, IL-12/23 or IL-23 inhibitors, belimumab, or oral calcineurin inhibitors

HS, Hidradenitis suppurativa; IL, interleukin; IVIG, intravenous immunoglobulin; JAK, janus kinase; TNFi, tumor necrosis factor inhibitor.