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Rheumatology clinic

Vaccination of immunosuppressed patients with autoimmune inflammatory rheumatic disease

PETER K.K. WONG, Laurel Young, DOUG F. JOHNSON

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© EVRYMMNT/STOCK.ADOBE.COM
© EVRYMMNT/STOCK.ADOBE.COM

Abstract

Patients receiving immunosuppressive therapy for inflammatory arthritis are at high risk of infections that could be avoided by vaccination. But which vaccines can be safely administered to immuno­ suppressed patients and which should not be used in this population?

Article Extract

Patients with autoimmune inflammatory rheumatic diseases (AIIRDs), such as rheumatoid arthritis, psoriatic arthritis and spondyloarthritis, often experience infections that could be prevented or attenuated by appropriate vaccination. However, vaccination might not be administered because of physician uncertainty about timing and which patients with AIIRDs should be vaccinated. There is also concern about the use of live vaccines in patients with immunosuppression.

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© EVRYMMNT/STOCK.ADOBE.COM
© EVRYMMNT/STOCK.ADOBE.COM