0
ARTICLE |

Influenza Vaccination in Patients With Rheumatic Diseases: Title and subTitle BreakSafety and Efficacy FREE

Anne Herron, MB, MRCP; Gloria Dettleff; Barbara Hixon; Leslie Brandwin, MD; David Ortbals, MD; Richard Hornick, MD, PhD; Bevra Hahn, MD
[+] Author Affiliations

Reprint requests to Division of Rheumatology, Washington University School of Medicine, Box 8045, 600 S Euclid, St Louis, MO 63110 (Dr Herron).


JAMA. 1979;242(1):53-56. doi:10.1001/jama.1979.03300010037025
Text Size: A A A
Published online

The safety and efficacy of influenza vaccination were studied in 32 healthy volunteers and in 62 patients with systemic lupus erythematosus (SLE), rheumatoid arthritis, degenerative joint disease, and other rheumatic diseases. These individuals, none of whom was acutely ill, were examined at the time of immunization and one week, three weeks, and four months later. Flare-ups of rheumatic disease following immunization were infrequent and usually minor. Seroconversion to A/New Jersey/76 developed in 62% to 87% of all individuals and to A/Victoria /75 in 62% to 69%. Antibody responses to A/New Jersey/76 were significantly lower in young patients taking glucocorticoids compared to those not taking glucocorticoids. The antibody responses to A/New Jersey/76 and A/Victoria/75 in patients with SLE were not different from normal responses. Administration of these vaccines was safe in these patients with stable disease and induced antibody responses in most individuals.

(JAMA 242:53-56, 1979)

REFERENCES

Phillips PE:  The role of viruses in systemic lupus erythematosus . Clin Rheum Dis 1:505-518, 1975;.
Cohen AS, Reynolds WE, Franklin EC, et al:  Preliminary criteria for the classification of systemic lupus erythematosus . Bull Rheum Dis 21:643-648, 1971;.
Hahn BH, Bagby MK, Osterland CK:  Abnormalities of delayed hypersensitivity in systemic lupus erythematosus . Am J Med 55:25-31, 1973;.
Ropes MW, Bennett GA, Cobb S:  Revision of diagnostic criteria for rheumatoid arthritis . Bull Rheum Dis 9:175-176, 1958;.
Dowdle W:  Influenza virus , in Rose NR, Friedman H (eds): Manual of Clinical Immunology . Washington, DC, American Society of Microbiology, 1976;, pp 433-437.
Hahn BH, Sharp GC, Irvin WS, et al:  Immune responses to hydralazine and nuclear antigens in hydralazine-induced lupus erythematosus . Ann Intern Med 76:365-374, 1972;.
Parkman PD, Galasso GJ, Top FH Jr, et al:  Summary of clinical trials of influenza vaccines . J Infect Dis 134:100-107, 1976;.
Pabico RC, Doublas GR, Betts RF, et al:  Influenza vaccination of patients with glomerular diseases . Ann Intern Med 81:171-175, 1974;.
Carroll RNP, Marsh RD, O'Doughe EPN, et al:  Response to influenza vaccine by renal transplant patients . Br Med J 2:701-703, 1974;.
Myers LW, Ellison GW, Lucia M, et al:  Swine influenza vaccination in multiple sclerosis . N Engl J Med 295:1204, 1976;.
Hurd ER, Dowdle W, Casey H, et al:  Virus antibody levels in systemic lupus erythematosus . Arthritis Rheum 15:267-274, 1972;.
Broun GO Sr, O'Connor D, Schmidt RR, et al:  Factors involved in immunization program for swine influenza . Am J Med 61:925-931, 1976;.
Williams GW, Steinberg AD, Reinertsen JR, et al: Ann Intern Med 88:729-735, 1978;.
Brodman R, Filfillian R, Glass D, et al: Ann Intern Med 88:735-741, 1978;.
Ristow SC, Douglas RG Jr, Condemi JJ: Ann Intern Med 88:786-790, 1978;.
Louie JS, Nies KM, Shoji KT, et al: Ann Intern Med 88:790-793, 1978;.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Phillips PE:  The role of viruses in systemic lupus erythematosus . Clin Rheum Dis 1:505-518, 1975;.
Cohen AS, Reynolds WE, Franklin EC, et al:  Preliminary criteria for the classification of systemic lupus erythematosus . Bull Rheum Dis 21:643-648, 1971;.
Hahn BH, Bagby MK, Osterland CK:  Abnormalities of delayed hypersensitivity in systemic lupus erythematosus . Am J Med 55:25-31, 1973;.
Ropes MW, Bennett GA, Cobb S:  Revision of diagnostic criteria for rheumatoid arthritis . Bull Rheum Dis 9:175-176, 1958;.
Dowdle W:  Influenza virus , in Rose NR, Friedman H (eds): Manual of Clinical Immunology . Washington, DC, American Society of Microbiology, 1976;, pp 433-437.
Hahn BH, Sharp GC, Irvin WS, et al:  Immune responses to hydralazine and nuclear antigens in hydralazine-induced lupus erythematosus . Ann Intern Med 76:365-374, 1972;.
Parkman PD, Galasso GJ, Top FH Jr, et al:  Summary of clinical trials of influenza vaccines . J Infect Dis 134:100-107, 1976;.
Pabico RC, Doublas GR, Betts RF, et al:  Influenza vaccination of patients with glomerular diseases . Ann Intern Med 81:171-175, 1974;.
Carroll RNP, Marsh RD, O'Doughe EPN, et al:  Response to influenza vaccine by renal transplant patients . Br Med J 2:701-703, 1974;.
Myers LW, Ellison GW, Lucia M, et al:  Swine influenza vaccination in multiple sclerosis . N Engl J Med 295:1204, 1976;.
Hurd ER, Dowdle W, Casey H, et al:  Virus antibody levels in systemic lupus erythematosus . Arthritis Rheum 15:267-274, 1972;.
Broun GO Sr, O'Connor D, Schmidt RR, et al:  Factors involved in immunization program for swine influenza . Am J Med 61:925-931, 1976;.
Williams GW, Steinberg AD, Reinertsen JR, et al: Ann Intern Med 88:729-735, 1978;.
Brodman R, Filfillian R, Glass D, et al: Ann Intern Med 88:735-741, 1978;.
Ristow SC, Douglas RG Jr, Condemi JJ: Ann Intern Med 88:786-790, 1978;.
Louie JS, Nies KM, Shoji KT, et al: Ann Intern Med 88:790-793, 1978;.
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.