[Human papillomavirus and systemic lupus erythematosus: A systematic review].

Rev Med Interne

Département de médecine interne, université Paris Cité, Hospital Bichat-Claude Bernard, AP-HP, Paris, France; Inserm UMR1149, CNRS ERL8252, laboratoire d'excellence Inflamex, faculté de médecine site Bichat, centre de recherche sur l'inflammation, Paris, France.

Published: November 2024

AI Article Synopsis

  • HPV infections can lead to various cancers, and individuals with systemic lupus are at a higher risk for persistent infections and cervical cancer due to weakened immune systems from treatment.
  • Effective prevention strategies include HPV vaccination and regular screening for precancerous lesions, but HPV vaccination coverage among adults with systemic lupus is notably low.
  • Both healthcare providers and patients must be educated about the significance of HPV vaccination and the need for proactive screening to better prevent HPV-related cancers in at-risk populations.

Article Abstract

Background: Human papillomavirus (HPV) infections cause cancer of the cervix, vagina, vulva, anus, penis and upper respiratory tract. The prevention of HPV-induced cancers is a public health issue. Patients with systemic lupus are at increased risk of persistent HPV infection and cervical cancer due to treatment-induced immunosuppression. HPV vaccination and screening for precancerous lesions are two effective means of preventing cervical cancer. Despite the demonstrated safety and efficacy of the HPV vaccine, coverage of HPV vaccination in SLE adults remains low. Screening for cervical cancer is only carried out as recommended in one lupus patient in two. Catch-up HPV vaccination, therapeutic vaccination and vaginal self-sampling are innovative prevention strategies adapted to patients at risk of HPV-induced cancer.

Conclusions: Measures to prevent HPV-induced cancers are insufficiently implemented in patients managed for systemic lupus. Healthcare professionals and patients need to be made aware of the importance of HPV preventing vaccination.

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Source
http://dx.doi.org/10.1016/j.revmed.2024.11.001DOI Listing

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