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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