メトトレキサート併用または非併用トファシチニブ,またはメトトレキサート併用アダリムマブ治療中の関節リウマチ患者における帯状疱疹生ワクチン
Arthritis Care and Research 2019 DOI: 10.1002/acr.24010
Live zoster vaccine (LZV) was well tolerated, and herpes zoster (HZ) incidence rates were generally similar between treatment groups in vaccinated versus non-vaccinated patients in a subset of RA who received LZV before TOF ± MTX, or ADA + MTX, in ORAL Strategy. It is known that patient with RA are at increased risk of developing HZ though the mechanisms behind this are currently not well understood though therapies, such as TOF, are thought to increase the risk. ACR and EULAR recommend using LZ...