Reactivation of occult hepatitis B virus infection in patients with rheumatic diseases: pathogenesis, risk assessment and prevention

Masaru Kato*, Tatsuya Atsumi

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

Over the past decade, reactivation of occult hepatitis B virus (HBV) infection has garnered much attention from rheumatologists owing to a number of reports which have indicated the potential risk of biologics in causing this previously ignored infectious complication. Hepatitis due to reactivation of occult HBV infection occurs only occasionally but with high mortality upon occurrence, placing us in a clinical dilemma “to address or not to address?” In this review, we discuss how biological and other immunosuppressive therapies increase the risk of developing reactivation of occult HBV infection and attempt to solve this clinical quandary.

Original languageEnglish
Pages (from-to)635-641
Number of pages7
JournalRheumatology International
Volume36
Issue number5
DOIs
StatePublished - 2016/05/01

Keywords

  • Biologics
  • Hepatitis B virus reactivation
  • Immunosuppressive drugs
  • Occult hepatitis B virus infection
  • Rheumatic diseases

ASJC Scopus subject areas

  • Rheumatology
  • Immunology and Allergy
  • Immunology

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