Lupus & antiphospholipid syndrome

Burden of herpes zoster and recombinant zoster vaccine willingness in systemic lupus erythematosus: A single-center cohort study

LupusPublished Retrospective cohort study

Authors' conclusion

HZ was common and frequently recurrent in this Japanese SLE cohort. Ever use of azathioprine and renal dysfunction were associated with HZ development, while willingness to receive RZV was low.

Study context

Population
Consecutive adult outpatients with systemic lupus erythematosus (SLE), single centre, December 2024 to June 2025
Participants
170 outpatients
Exposure
HZ0 vs HZ1 vs herpes zoster (HZ)≥2
Outcome
HZ after SLE diagnosis
Methodological detailssingle-center, combined with a cross-sectional survey, multivariable logistic regression
  • Single-center
  • Combined with a cross-sectional survey
  • Multivariable logistic regression

Main finding

As reported in the abstract

At least one HZ episode after SLE diagnosis

73

43%

Recurrent HZ (of those with HZ)

29

40%

HZ episodes reported (at least) over 3138 person-years

102

Minimum incidence per 1000 person-years

32.5

Observational data: associations, not effects.

Further findings

Factors associated with HZ development (multivariable analysis)

OR (95% CI)
Ever use of AZA2.74 (1.03–7.29)
Renal dysfunction2.59 (1.04–6.48)

Willingness to receive recombinant zoster vaccine (RZV)

Willing
31 (20%)
Unwilling
47 (30%)
Unsure
81 (50%)
  • Attitude data available for 159 patients

Original publication

Burden of herpes zoster and recombinant zoster vaccine willingness in systemic lupus erythematosus: A single-center cohort study. Lupus. Published 28 September 2026. doi:10.1177/09612033261493819

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