Skill Checkup: A 40-Year-Old Woman With Rheumatoid Arthritis Has Fever, Headache, Photophobia and Painful, Burning Rash

Heidi Moawad, MD


May 08, 2023

In a population-based case-control study, which quantified the effects of risk factors, people with RA, like this patient, had a 40% higher risk for HZ compared with age-, sex- and practice-matched controls (2.1% vs 1.5%, respectively). Other conditions that are associated with a higher risk for HZ include inflammatory bowel disease, chronic obstructive pulmonary disease, asthma and chronic kidney disease.

Given that both her disease and her RA treatment contribute to a high risk for HZ, the general practitioner suggests that this patient would be a good candidate for HZ vaccination at her next appointment.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.