Hepatitis B & C


 Image result for hepatitis c vasculitis
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The A, B, Cs of Viral Hepatitis in the Biologic Era

How safe are new biologic agents in treating patients with hepatitis and rheumatic diseases?
medscape.com

Incidence of hepatitis B virus reactivation in patients with resolved infection on immunosuppressive therapy for rheumatic disease: a multicentre, prospective, observational study in Japan

Figure 2

Background Although the reactivation of hepatitis B virus (HBV) is recognised as a serious complication in patients with rheumatic disease (RD) receiving immunosuppressive drugs (ISDs), the incidence and risk factors for reactivation remain controversial. Objectives To investigate the incidence and…
ardbeta.bmj.com

While biologic use did not significantly increase the risk of Hepatitis B reactivation, age above 68 conferred over 3 times the risk.  Methotrexate use reduced the risk by 60%, while steroid use increased it more than twice.