European Journal of Internal Medicine
Volume 20, Issue 3 , Pages 236-241, May 2009

Systemic lupus erythematosus and vaccination

Department of Internal Medicine, CHU RENNES, France

Received 13 April 2008; received in revised form 25 June 2008; accepted 7 July 2008. published online 01 September 2008.

Abstract 

Patients with systemic lupus erythematosus (SLE) are frequently immunodepressed making them more vulnerable to infections. Preventive vaccination is therefore warranted but has often been withheld owing to fears of a link between infection and autoimmunity, and the possibility of inducing or exacerbating lupus after vaccination. The data published in the literature suggest that vaccination of lupus patient is safe, except for live vaccines. Their efficacy is lower than in healthy subjects but protection seems to be sufficient. But further large-scale studies are required to confirm these statements.

Keywords: Autoimmunity, Vaccination, Lupus

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PII: S0953-6205(08)00215-X

doi:10.1016/j.ejim.2008.07.017

European Journal of Internal Medicine
Volume 20, Issue 3 , Pages 236-241, May 2009