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Hepatitis B virus (HBV) reactivation with immunosuppressive therapy in rheumatic diseases: assessment and preventive strategies

Abstract

Understanding of the natural history and basic biology of hepatitis B virus (HBV) has increased greatly in recent years. In view of this, the following are reviewed here: (a) recent advances in HBV biology pertinent to the rheumatic disease population; (b) the risks of HBV reactivation in patients with rheumatic disease undergoing immunosuppression; and (c) potential strategies to manage these risks.

  • ALT, alanine aminotransferase
  • anti-HBc, antibody to hepatitis B core antigen
  • anti-HBs, antibody to hepatitis B surface antigen
  • HBcAg, hepatitis B core antigen
  • HBeAg, hepatitis B e antigen
  • HBsAg, hepatitis B surface antigen
  • HHBV, hepatitis B virus
  • HCC, hepatocellular carcinoma
  • IFN, interferon
  • TNF, tumour necrosis factor
  • hepatitis B virus 
  • biologic therapy
  • immunosuppression

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