Hepatitis E during Tocilizumab Therapy in a Patient with Rheumatoid Arthritis: Case Report and Literature Review

Joint Authors

Sakairi, Toru
Nojima, Yoshihisa
Hiromura, Keiju
Mimura, Toshihide
Koinuma, Kana
Kaneko, Yoriaki
Yamazaki, Yuichi
Okamoto, Hiroaki
Mochida, Satoshi
Nakasatomi, Masao
Maeshima, Akito
Ikeuchi, Hidekazu

Source

Case Reports in Rheumatology

Issue

Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2018-07-26

Country of Publication

Egypt

No. of Pages

5

Main Subjects

Diseases

Abstract EN

Hepatitis E is an acute self-limiting disease caused by hepatitis E virus (HEV).

Recent reports show that HEV can induce chronic hepatitis or be reactivated in immunocompromised hosts.

We report a 63-year-old woman with rheumatoid arthritis (RA) who developed hepatitis E during treatment with tocilizumab.

Analysis of serially stocked serum samples confirmed that hepatitis was caused by primary infection with HEV and not by viral reactivation.

Her liver function improved after discontinuing tocilizumab and remained within the normal range without reactivation of HEV for >5 years after restarting tocilizumab.

We also reviewed the published cases of hepatitis E that developed during RA treatment.

American Psychological Association (APA)

Ikeuchi, Hidekazu& Koinuma, Kana& Nakasatomi, Masao& Sakairi, Toru& Kaneko, Yoriaki& Maeshima, Akito…[et al.]. 2018. Hepatitis E during Tocilizumab Therapy in a Patient with Rheumatoid Arthritis: Case Report and Literature Review. Case Reports in Rheumatology،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1149874

Modern Language Association (MLA)

Ikeuchi, Hidekazu…[et al.]. Hepatitis E during Tocilizumab Therapy in a Patient with Rheumatoid Arthritis: Case Report and Literature Review. Case Reports in Rheumatology No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1149874

American Medical Association (AMA)

Ikeuchi, Hidekazu& Koinuma, Kana& Nakasatomi, Masao& Sakairi, Toru& Kaneko, Yoriaki& Maeshima, Akito…[et al.]. Hepatitis E during Tocilizumab Therapy in a Patient with Rheumatoid Arthritis: Case Report and Literature Review. Case Reports in Rheumatology. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1149874

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1149874