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Table 1 Previous literature reports of IFN-α-induced rheumatoid arthritis in patients with CHC

From: Rheumatoid arthritis following PEG-interferon-alfa-2a plus ribavirin treatment for chronic hepatitis C: a case report and review of the literature

 

Age

Sex

Treatment

Onset

Biochemical abnormalities

Treatment and outcome

Sood et al.[12]

47

W

Recombinant IFN-α-2b + RIB

20 weeks after starting antiviral therapy

ESR↑, ANA-, RF+

NSAIDs

No interruption of antiviral therapy

Ionescu et al.[13]

40

W

PEG-IFN-α-2b + RIB

45 weeks after starting antiviral therapy

ESR↑, RF+, Fibrinogen ↑, IgG ↑

Analgesics and NSAIDs

PEG-IFN-α-2a + RIB

10 months after re-treatment for relapsing CHC

HLA B27- HLA DR3/4+

Regression after cessation of antivirals

Yang et al.[14]

54

M

PEG-IFN-α-2a + RIB

18 weeks after starting antiviral therapy

ESR↑, ANA-, RF-, Anti-CCP Ab+, CRP ↑,

Ibuprofen, celecoxib and tramadol, then switch to hydroxychloroquine and sulfasalazine

Izumi et al.[11]

48

M

PEG-IFN-α + RIB

2 months after cessation of antivirals

ANA+, RF-, ESR↑, Anti-CCP Ab+, BAFF↑

Methotrexate and sulfasalazine

  1. Anti-CCP Ab: anti-cyclic citrullinated protein antibody; ANA: antinuclear antibody; BAFF: B-lymphocyte activating factor; CHC: chronic Hepatitis C; CRP: C-reactive protein; ESR: Erythrocyte Sedimentation Rate; M: man; NSAIDs: Non-steroidal anti-inflammatory drugs; PEG-IFN: Pegylated interferon; RF: rheumatoid factor; RIB: ribavirin; W: woman; +: positive; ↑: increased.