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HBV reactivation in HBsAg-/HBcAb+ rheumatoid arthritis patients receiving biologic/targeted synthetic DMARDs.

Meng Hsuan KuoChih-Wei TsengPing-Hung KoSz-Tsan WangMing-Chi LuChien-Hsueh TungKuo-Chih TsengKuang-Yung HuangChi-Hui LeeNing-Sheng Lai
Published in: Liver international : official journal of the International Association for the Study of the Liver (2023)
HBsAg-/HBcAb+ RA patients are susceptible to HBV reactivation during b/tsDMARD therapy. Those with negative baseline anti-HBs and those on certain b/tsDMARDs, such as rituximab, abatacept and adalimumab, have high reactivation risks. Risk stratification and management should be based on the patient's baseline anti-HBs titre and type of therapy.
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