Lupus & antiphospholipid syndrome

High incidence of herpes zoster among systemic lupus erythematosus (SLE) patients in Indonesia: a retrospective cohort study

Lupus Sci MedPublished Retrospective cohort study

Authors' conclusion

The incidence of HZ in this Southeast Asian SLE cohort was high, particularly in patients with recent diagnoses and those receiving mycophenolate.

Study context

Population
Adult SLE patients with at least 6 months of follow-up, allergy-immunology outpatient clinic of a tertiary referral centre in Indonesia
Participants
130 patients733 person-years
Outcome
Incidence and clinical risk factors of HZ
Methodological detailssingle-centre, tertiary referral centre, systematic random sampling, multivariate binomial regression
  • Single-centre
  • Tertiary referral centre
  • Systematic random sampling
  • Multivariate binomial regression

Main finding

As reported in the abstract

HZ incidence · median follow-up 5.6 years

Cumulative incidence of herpes zoster (HZ)

16.5%

21/130 patients

Incidence rate per 1000 person-years

28.7

Observational data: associations, not effects.

Further findings

Independent risk factors for HZ (multivariate analysis)

RR (95% CI)P value
Disease duration ≤1 year3.23 (1.58–6.63)P = 0.001
Mycophenolate use3.23 (1.18–8.87)P = 0.023
Corticosteroid dose and comorbidities not significantly associated with HZ

Original publication

High incidence of herpes zoster among SLE patients in Indonesia: a retrospective cohort study. Lupus Sci Med. Published 3 March 2026. doi:10.1136/lupus-2025-001797

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