The incidence of herpes zoster in cutaneous lupus erythematosus (CLE), dermatomyositis (DM), pemphigus vulgaris (PV), and bullous pemphigoid (BP)

Robinson, Elizabeth S.; Payne, Aimee; Pappas‐Taffer, Lisa; Feng, Rui; Werth, Victoria P.

doi:10.1016/j.jaad.2016.02.1153

Cited by 10 publications

(7 citation statements)

References 20 publications

(25 reference statements)

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“…Among other AIIRD, a particularly high incidence of HZ was reported in patients with DM and PM compared with controls with a pooled IRR 5.1, 95% CI 4.3 to 5.9/1000 person years 47–50. These studies were notable for a low heterogeneity (Q test p 0.6).…”

Section: Resultsmentioning

confidence: 89%

“…The present review has contributed 29 studies,25–51 among them 2 meta-analyses,52 53 expanding the data on the incidence of HZ in AIIRD (table 3). Eleven studies included a control group 25 28 34 39 40 44–46 49–51. Based on the analysis of 21 studies including 894 891 patients, pooled IR and pooled IRR were calculated for patients with AIIRD in general and for specific disease subtypes (figure 2; s upplementary file table 1).…”

Section: Resultsmentioning

confidence: 99%

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Incidence and prevalence of vaccine preventable infections in adult patients with autoimmune inflammatory rheumatic diseases (AIIRD): a systemic literature review informing the 2019 update of the EULAR recommendations for vaccination in adult patients with AIIRD

et al. 2019

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ObjectivesThe aims of this study were to update the evidence on the incidence and prevalence rates of vaccine preventable infections (VPI) in patients with autoimmune inflammatory rheumatic diseases (AIIRD) and compare the data to the general population when available.MethodsA literature search was performed using Medline, Embase and Cochrane library (October 2009 to August 2018). The primary outcome was the incidence or prevalence of VPI in the adult AIIRD population. Meta-analysis was performed when appropriate.ResultsSixty-three publications out of 3876 identified records met the inclusion criteria: influenza (n=4), pneumococcal disease (n=7), hepatitis B (n=10), herpes zoster (HZ) (n=29), human papillomavirus (HPV) infection (n=13). An increased incidence of influenza and pneumococcal disease was reported in patients with AIIRD. HZ infection-pooled incidence rate ratio (IRR) was 2.9 (95% CI 2.4 to 3.3) in patients with AIIRD versus general population. Among AIIRD, inflammatory myositis conferred the highest incidence rate (IR) of HZ (pooled IRR 5.1, 95% CI 4.3 to 5.9), followed by systemic lupus erythematosus (SLE) (pooled IRR 4.0, 95% CI 2.3 to 5.7) and rheumatoid arthritis (pooled IRR 2.3, 95% CI 2.1 to 2.6). HPV infection-pooled prevalence ratio was 1.6, 95% CI 0.7 to 3.4 versus general population, based on studies mainly conducted in the SLE population in Latin America and Asia. Pooled prevalence of hepatitis B surface antigen and hepatitis B core antibody in patients with AIIRD was similar to the general population, 3%, 95% CI 1% to 5% and 15%, 95% CI 7% to 26%, respectively.ConclusionCurrent evidence shows an increased risk of VPI in patients with AIIRD, emphasising that prevention of infections is essential in these patients.

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Section: Resultsmentioning

confidence: 89%

Section: Resultsmentioning

confidence: 99%

Incidence and prevalence of vaccine preventable infections in adult patients with autoimmune inflammatory rheumatic diseases (AIIRD): a systemic literature review informing the 2019 update of the EULAR recommendations for vaccination in adult patients with AIIRD

et al. 2019

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“…On the other hand, the association between PV and VZ might be coincidental rather than pathogenic according to some studies. Robinson et al 28 could not demonstrate a significantly higher incidence of HZV infection in PV and bullous pemphigoid when compared with control groups in a retrospective study. Moreover, Esmaili et al 19 studied 38 patients with PV and were not able to demonstrate HSV 1 and 2 or human herpesvirus-8 in skin biopsies or in the peripheral blood of any of them.…”

Section: Discussionmentioning

confidence: 79%

Varicella Zoster With Pemphigus-like Reaction

Fernández-Flores

2022

The American Journal of Dermatopathology

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We present a case of a 55-year-old man with a rash on his right foot that was biopsied and diagnosed as a Varicella Zoster virus infection with an accompanying positive immunohistochemical study with antiviral antibodies. He concomitantly suffered from a Varicella Zoster virus meningitis. The skin biopsies not only showed clear histologic signs of viral cytopathic effects but also showed intercellular IgG and C3 intraepidermal staining by direct immunofluorescence study, findings which are typically consistent with pemphigus vulgaris. However, the patient did not have any history of pemphigus; there was no mucosal involvement, and serum antibodies to desmoglein 1 and 3 were negative. After discharge, the patient continued to have right-sided foot pain, and he continued the acyclovir treatment.

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“…Patients with CLE have an increased risk for HZ with a reported incidence of 29.4 cases per 1000 person-years. 2 SLE patients are also at high risk for HZ, with an estimated 2 to 10-fold increased incidence compared with the general population. 3 , 4 In fact, SLE is a stronger risk factor for HZ development than other autoimmune and noninflammatory musculoskeletal disorders, including rheumatoid arthritis.…”

Section: Discussionmentioning

confidence: 99%

Herpes zoster infection after topical steroid use in the setting of tumid lupus erythematosus

et al. 2018

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The incidence of herpes zoster in cutaneous lupus erythematosus (CLE), dermatomyositis (DM), pemphigus vulgaris (PV), and bullous pemphigoid (BP)

Cited by 10 publications

References 20 publications

Incidence and prevalence of vaccine preventable infections in adult patients with autoimmune inflammatory rheumatic diseases (AIIRD): a systemic literature review informing the 2019 update of the EULAR recommendations for vaccination in adult patients with AIIRD

Incidence and prevalence of vaccine preventable infections in adult patients with autoimmune inflammatory rheumatic diseases (AIIRD): a systemic literature review informing the 2019 update of the EULAR recommendations for vaccination in adult patients with AIIRD

Varicella Zoster With Pemphigus-like Reaction

Herpes zoster infection after topical steroid use in the setting of tumid lupus erythematosus

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