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Recommendations and barriers to vaccination in systemic lupus erythematosus
Megha Garg1, Naaima Mufti2, Tara N Palmore3
1Translational Autoinflammatory Disease Studies, NIAID, NIH, Bethesda, MD, USA; National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, MD, USA.
None:
Patients with Systemic Lupus Erythematosus (SLE) pose a unique dilemma pertaining to immunization against common pathogens. SLE patients are usually not immunized with vaccines based on the fear of either precipitating infection in this immunosuppressed patient population (with live vaccines) or aggravating autoimmunity and hence lupus flares (with any vaccines). However, elevated vulnerability to infection makes patients with SLE precisely the population that needs protection from vaccine-preventable diseases. A summary of guidelines from the Centers for Disease Control and Prevention, professional societies, review articles and expert opinions regarding use of individual vaccines applicable to adults with SLE is presented in this review.
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