Is the use of biologic agents recommended in rheumatoid arthritis (RA) and hepatitis?

Updated: Feb 07, 2020
  • Author: Howard R Smith, MD; Chief Editor: Herbert S Diamond, MD  more...
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Answer

Patients with RA requiring treatment who are infected with hepatitis C should not be treated differently than RA patients not infected with hepatitis C. [4] In RA patients with untreated chronic hepatitis B virus (HBV) infection, as well as those with treated chronic HBV disease of Child-Pugh class B and higher, biologic agents are not recommended. In patients with HBV infection who are receiving or have received antiviral therapy, treatment recommendations are the same as in patients without HBV infection. [4]


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