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Factors associated with active tuberculosis in Colombian patients with systemic lupus erythematosus: a case-control study.

Luis Alonso González-NaranjoJaime Alberto Coral-EnríquezMauricio Restrepo-EscobarCarlos Horacio Muñoz-VahosDaniel Jaramillo-ArroyaveAdriana Lucía Vanegas-GarcíaRuth ErasoGloria VásquezFabián Jaimes
Published in: Clinical rheumatology (2020)
Among SLE patients, cumulative glucocorticoid dose, lymphopenia, and the use of ≥ 2 immunosuppressants during the last 12 months were associated with active TB infection. Key Points • Among SLE patients, a cumulative dose of glucocorticoids equivalent to 5 mg/day of prednisone during the last 12 months is independently associated with the development of TB. • The use of two or more immunosuppressants during the last 12 months is also a risk factor for TB infection development is SLE patients. • Lymphopenia is predominant in SLE patients with TB, being especially profound in those with disseminated TB. • Renal transplant recipients with SLE also have an elevated risk of TB.
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