Skip to main content

Table 1 Cases of HEV infection in patients with autoimmune diseases and treated with DMARDs

From: Hepatitis E Virus and rheumatic diseases: what do rheumatologists need to know?

No.ptREF Gender/age RD b/tsDMARD/withdrawal csDMARD/ withdrawal PDN (mg/d) HEV Gt Ribavirin HEV-RNA clearance (weeks) Evolution of HEV infection
1 [47] M/60 RA IFX/NA MTX,BUC/NA yes (dose NA) 4 NO NR died due to FE
2 [47, 49] F/69 RA ABA/ YES LEF/ Yes 5 3 NO NR Improved
3 [47, 49] M/55 RA RTX/ YES MTX/ Yes YES (NA) 3 YES 12 improved
4 [47, 49] F/62 RA IFX/ YES MTX/ Yes NO NA NO 4 improved
5 [47, 49] M/72 RA RTX/ NO MTX,LEF/ Yes NO NA NO NR improved
6 [47, 49] F/49 RA TCZ/ YES MTX/ Yes 3 3f NO 6 ALF,improved
7 [47, 49] F/69 RA ABA/ YES LEF/ Yes 5 3f NO 7 improved
8 [47, 49] M/69 RA RTX/ NO MTX/ No NO NA YES 10,5 improved
9 [47, 49] M/61 RA RTX/ NO LEF/ Yes 3 NA NO 8 ALF,improved
10 [47, 49] F/53 RA ABA/YES MTX/ Yes NO NA NO 9 improved
11 [47, 49] F/44 RA RTX/ YES MTX/ Yes NO 3c NO 9,5 improved
12 [47, 49] F/55 RA ETN/ YES MTX/ Yes NO NA NO 4 improved
13 [47, 49] F/60 RA ADA/ YES MTX/ Yes 4 3f NO 8 improved
14 [47, 49] M/59 RA TCZ/YES MTX/ Yes 7 NA NO 4 improved
15 [47] F/68 RA n/a MTX/ Yes 5/weekly NA NO 5,7 improved
16 [47] F/33 RA TCZ/ YES n/a NO NA NO NR improved
17 [47] F/64 RA   MTX, BUC/NA NO 3 NO NR improved
18 [47] F/74 RA TOF/ YES n/a YES (NA) 3 NO NR improved
19 [47] F/52 RA   MTX/NA NO 3 NO NR improved
20 [47] F/51 RA RTX/ YES n/a NO NA YES 8 improved
21 [15, 47] F/58 RA   ACT,BUC,MIZ/ No 5 NA NO NR improved
22 [15, 47] M/61 RA ETN/ YES MTX/ Yes 3 NA NO NA improved
23 [15, 47] M/67 RA   MTX,TAC/ Yes 5 NA NO NR improved
24 [15, 47] F/52 RA   MTX,MIZ,TAC/ Yes 4 NA NO NR improved
25 [47] M/63 RA ADA/ YES MTX/ Yes 3 3 YES 6 wks after ribavirin chronic infection then improved
26 [47] F/63 RA TCZ/ YES n/a 3 3e NO 6 Improved
27 [23] F/39 RA   LEF/ Yes 10 3 NO About 7,8 Improved
28 [48] F/65 pSS RTX/ YES MMF/ Yes NA 3 YES NR Chronic infection
29 [49] F/30 JIA IFX/ YES MTX/ Yes 6 3f YES 4 Impreved
30 [49] F/54 AS ADA/ NO n/a NO NA NO 4 Improved
31 [49] M/62 PsA   MTX/ Yes NO 3c YES 7 Improved
32 [49] F/52 AS INF/ NO MTX/ No NO NA YES 3 Improved
33 [49] F/25 PsA   MTX/ Yes 20 NA NO NR Improved
34 [49] M/70 UA   MTX/ Yes 5 3c NO 6 Improved
35 [49] F/30 PsA   CyA/ Yes NO 3f YES 7,5 Improved c
36 [49] M/38 AS IFX/ YES LEF/ No 4,5 NA NO NR improved
37 [49] M/40 AS ETN/YES n/a NO NA NO NR improved
38 [49] F/79 JA   MTX/ Yes 2 NA NO NR improved
39 [49] M/35 AS INF/ YES MTX/ Yes NO NA NO NR improved
40 [49] M/61 PsA ADA/ YES n/a NO NA NO NR improved
41 [50] M/57 RA RTX/ NO MTX/ No NO NA NO 11 improved
42 [50] F/69 RA TNFia/ NO MTX/ No NO NA NO 4 improved
43 [50] F/56 SLE TNFIa/ NO MTX/ No NO NA NO 4 improved
44 [50] F/65 RA   MTX/ Yes NO 1 NO 4 improved
45 [50] F/75 RA   MTX/ No NO NA YES 18 improved
46 [50] M/67 PsA TNFIa/ NO n/a NO NA YES 11 improved
47 [50] M/58 ECD TNFIa/ YESb MTX/ Yesb NO NA NO 3 improved
48 [50] M/59 GRA   CYC/ No NO NA NO 4 improved
49 [50] F/51 RA ABA/ YES n/a NO NA NO 16 Improved
50 [50] F/30 JIA TNFia/ YES MTX/ Yes NO NA YES 4 Improved
51 [50] F/54 PsA TNFia/ NO n/a NO NA NO 5 Improved
52 [50] M/62 PsA   MTX/ Yes NO NA YES 7 Improved
53 [50] F/52 AS IFX/ YES n/a NO NA NO 3 Improved
54 [50] F/25 PsA TNFia/ YES MTX/ Yes NO NA NO <  1 Improved
55 [50] M/70 UA   MTX/ Yes YES (NA) NA NO 6 Improved
56 [50] M/29 GRA   MMF/n/a 7,5 NA YES 48 clearance riba†
57 [50] M/34 RF   SIRO/ No 60 NA YES 96 riba clearance†
58 [50] M/55 PsA TNFia/ YES n/a NO NA NO 3 Improved
59 [52] M/33 CD/PSC ADA/ NO 6-MP/ Yes 5 1 YES about 24 clearance riba†
60 [51] F/60 UC INF/ NO MES/ Yes 10 3a NO about 2 Improved
  1. List of abbreviations: ABA Abatacept, ACT Actarit, ADA Adalimumab, ALF Acute liver failure, AS Ankylosing spodilytis, BUC Bucillamine, CD Crohn’s disease, DMARDs Disease modifiyng antirheumatic drugs, bDMARDs Biologic DMARDs, csDMARDs Conventional synthetic DMARDs, ECD Erdheim Chester disease, ETN Etanercept, FE Fulminant hepatitis, FO Follow-up, GRA Granulomatosis, HEV Gt Hepatitis e genotype, IFX Infliximab, JA Jaccoud arthtropathy, JIA Juvenile idiopathic arthritis, LEF Leflunomide, MIZ Mizoribine, MTX Methotrexate, NA Not available, n/a Not applicable, NR Not reported, PRD Prednisone, prednisolone, Psa Psoriatic arthtritis, PSC Primary sclerosing cholangitis, pSS Primary Sjogren’s syndome, RA Rheumatoid arthtritis, RF Retroperitoneal fibrosis, RTX Rituximab, SIRO Sirolimus, SLA Systemic lupus eritematosus, TAC Tacrolimus, TCZ Tocilizumab, TOF Tofacitinib, UA Undetermined arthtritis, UC Ulecrative colitis, wk. Week. aTNFI Tumor necrosis factor inhibitor not specified; b not specified the degree of reduced immunosuppression; cdeveloped bilateral Parsonage-Turner syndrome
  2. HEV-RNA clearance after introduction of ribavirin