Systemic lupus erythematosus arising during interferon-alpha therapy for cryoglobulinemic vasculitis associated with hepatitis C

Timothy B. Niewold, William I. Swedler

Research output: Contribution to journalReview article

129 Scopus citations

Abstract

We present the case of a 53-year-old woman who developed systemic lupus erythematosus (SLE) after being treated with interferon-alpha (IFN-α) for cryoglobulinemic vasculitis associated with hepatitis C virus (HCV) infection. Her cryoglobulinemic vasculitis resolved rapidly with IFN-α treatment. However, after 10 months of IFN-α therapy, she developed a photosensitive malar rash, oral ulcers, arthralgias, lymphopenia, and anti-SSA autoantibodies. She was diagnosed with SLE induced by IFN-α therapy. IFN-α was discontinued, she was treated with a short course of prednisone and hydroxychloroquine, and she improved rapidly. This is the first report of IFN-α-induced SLE complicating treatment of cryoglobulinemic vasculitis associated with HCV infection. The development of SLE during therapy with IFN-α could be due to direct immunomodulation by IFN-α, and review of experimental data and prior case reports suggests a pathogenic role for IFN-α in SLE.

Original languageEnglish (US)
Pages (from-to)178-181
Number of pages4
JournalClinical rheumatology
Volume24
Issue number2
DOIs
StatePublished - Apr 1 2005

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Keywords

  • Cryoglobulinemia
  • Hepatitis C
  • Interferon-alpha
  • Lupus erythematosus, systemic
  • Vasculitis

ASJC Scopus subject areas

  • Rheumatology

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