Management of hepatitis B and C infections in rheumatologic disease

被引:3
作者
Cheah, Jonathan T. L. [1 ]
Faragon, John J. [2 ]
Marks, Kristen M. [3 ]
机构
[1] Hosp Special Surg, Dept Med, 535 E 70th St, New York, NY 10021 USA
[2] Albany Med Ctr, Dept Pharm & Med, 43 New Scotland Ave, Albany, NY 12208 USA
[3] Weill Cornell Med, Div Infect Dis, 525 East 70th St, New York, NY 10065 USA
来源
BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY | 2018年 / 32卷 / 06期
关键词
Hepatitis B; Hepatitis C; Vasculitis; Polyarteritis nodosa; Cryoglobulinemic vasculitis; Direct-acting antivirals; Sicca syndrome; Arthritis; Drug interactions; TENOFOVIR DISOPROXIL FUMARATE; SYSTEMIC-LUPUS-ERYTHEMATOSUS; HCV GENOTYPE 1; VIRUS-INFECTION; POLYARTERITIS-NODOSA; MIXED CRYOGLOBULINEMIA; SJOGREN-SYNDROME; SURFACE-ANTIGEN; EXTRAHEPATIC MANIFESTATIONS; ANKYLOSING-SPONDYLITIS;
D O I
10.1016/j.berh.2019.04.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hepatitis B and C viruses present dual considerations in rheumatic disease as both etiologic factors and important comorbidities that must be assessed and addressed. This review summarizes the link between hepatitis B and arthritis and polyarteritis nodosa as well as hepatitis C and arthritis, Sicca syndrome and cryoglobulinemic vasculitis. Recent data pertaining to the antiviral management in these conditions, especially regarding the use of the direct-acting antivirals in hepatitis C, are also presented. Additionally, guidance on testing and treatment of hepatitis B and C as comorbidities in the context of systemic inflammatory rheumatic conditions and the use of disease-modifying antirheumatic therapy are discussed. (C) 2019 Elsevier Ltd. All rights reserved.
引用
收藏
页码:848 / 868
页数:21
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