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Approach to vaccination in systemic lupus erythematosus on biological treatment

Yildirim, Resit; Oliveira, Tatiana; Isenberg, David Alan; (2023) Approach to vaccination in systemic lupus erythematosus on biological treatment. Annals of the Rheumatic Diseases , 82 (9) pp. 1123-1129. 10.1136/ard-2023-224071. Green open access

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Abstract

In recent years, treat-to-target strategy and early intervention strategies with immunosuppressive agents have attempted to improve the prognosis and outcome in patients with autoimmune inflammatory rheumatic diseases. However, infectious complications due to side effects of medication remain a major concern in routine practice. In this regard, vaccine immunity and vaccination programmes are of the utmost importance in patients with systemic lupus erythematosus (SLE) in terms of morbidity and mortality. Encouragingly, research investigations have increased exponentially, both in monitoring the vaccines efficacy, and in determining the immune response while patients are on immunosuppression., However, in this biological era in rheumatology, relatively little data have been published investigating these parameters in those receiving biological agents, therefore, no definitive consensus about a vaccination policy for patients with SLE is currently available. In this review, we aim to address what is established about vaccinating patients with SLE on biological agents and discuss potential problems.

Type: Article
Title: Approach to vaccination in systemic lupus erythematosus on biological treatment
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/ard-2023-224071
Publisher version: http://dx.doi.org/10.1136/ard-2023-224071
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions
Keywords: Science & Technology, Life Sciences & Biomedicine, Rheumatology, Lupus Erythematosus, Systemic, Rituximab, Immune System Diseases, INFLUENZA VACCINATION, RHEUMATOID-ARTHRITIS, HERPES-ZOSTER, PNEUMOCOCCAL VACCINATION, POLYSACCHARIDE VACCINE, ANTIBODY-RESPONSES, IMMUNOGENICITY, SAFETY, IMMUNIZATION, AUTOIMMUNE
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
URI: https://discovery.ucl.ac.uk/id/eprint/10188451
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