Vaccines   

Questions discussed in this category



Is there a role for booster vaccination and if so, how do you approach the timing when a patient is already on a biologic for immunosuppression? 

E.g., for a patient with myeloma, s/p induction therapy, and high-dose chemotherapy, followed by autologous rescue with inappropriate antibody respons...

For example, in patients who are HbSAg negative, anti-HBc positive and HbSAb negative, does vaccination reduce reactivation risk?

Data is clear that we should hold methotrexate at least one week after COVID and flu vaccines. How do you approach methotrexate management around Shin...

If a deficiency is present, do you consider IVIG to treat non-infectious symptoms such as skin rash, arthritis or hematological abnormalities? 

If so, what patients do you recommend get one and do you have concerns for patients who also may be receiving chemotherapy as the CDC guidelines recom...

E.g., inflammatory polyarthritis or inflammatory myopathy with onset within 2 weeks of documented COVID infection


Papers discussed in this category


Lancet Rheumatol, 2021 Apr 06

N Engl J Med, 2020 Nov 20

Blood,

Ann Oncol, 2021 Mar 18

Arthritis Rheumatol, 2021 May 24

Semin Hematol,

Thromb Res, 2021 Jun 25

Semin Arthritis Rheum, 2007 Feb

J Clin Rheumatol, 2021 Dec 01

Am J Med, 1984 Mar 30

Lupus, 2007

Autoimmun Rev, 2022 Aug 24

Ann Rheum Dis, 2021 Sep 07

Lupus, 2014 Jul 30

MMWR. Morbidity and mortality weekly report, 2024 Sep 12

Radiother Oncol, 2015 Aug 04

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2018-06-01

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2024 Mar 18