• Rev Med Interne · Nov 2024

    Review

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

    • Tiphaine Goulenok and Karim Sacré.
    • Département de médecine interne, université Paris Cité, Hospital Bichat-Claude Bernard, AP-HP, Paris, France. Electronic address: tiphaine.goulenok@aphp.fr.
    • Rev Med Interne. 2024 Nov 15.

    BackgroundHuman 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.ConclusionsMeasures 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.Copyright © 2024 The Author(s). Published by Elsevier Masson SAS.. All rights reserved.

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