Patient number | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 |
Age at first visit | 48 | 34 | 31 | 49 | 44 | 39 | 47 | 52 |
Gender | Male | Male | Male | Female | Female | Male | Female | Male |
Ethnicity | White | White | Black | Black | Black | Black | Black | White |
Rheumatic disease | Seropositive RA plus psoriasis | ankylosing spondylitis (AS) | Peripheral SpA | Peripheral SpA | Seronegative RA | PsA | PsA | PsA |
Biologic/JAK inhibitor usage | Currently taking | Taken previously | Not taking | Switched to tocilizumab | Not taking | Not taking | Switched to secukinumab then ustekinumab | Lost to follow-up |
Taking cART | Yes | Yes | No | Yes | No | No | Yes | Yes |
Baseline CD4 (cells/μL) | 631 | 634 | 745 | 373 | 1300 | 970 | 365 | 268 |
Baseline viral load (copies/mL) | Undetectable | 256 | Undetectable | Undetectable | Undetectable | 27 829 | 15 667 | Undetectable |
Duration of anti-TNF treatment | 2003–2011, 2016–present | 2004 | 2003–2005 | 2003–2017 | 2004–2005 | 2004–2007 | 2006–present | 2003–2007 |
Still followed | Current patient | Followed elsewhere after 2006, alive 2021 | Last visit 2015 | Current patient | Current patient | Last visit 2018 | Current patient | Last seen 2015 |
Lowest CD4 on anti-TNF treatment (cells/μL) | 357 | 634 | 923 | 580 | 1082 | 750 | 382 | 240 |
Highest viral load on anti-TNF treatment (copies/mL) | 103 | 845 | Undetectable | 120 000 | Undetectable | 428 503 | <400 | Undetectable |
Most recent CD4 count (cells/μL) | 468 | 690 | 535 | 1026 | 993 | 321 | 1121 | 417 |
Most recent HIV viral load (copies/mL) | Undetectable | Undetectable | 193 | Undetectable | Undetectable | 77 | Undetectable | Undetectable |
Anti-TNF agent used | Etanercept, Adalimumab | Etanercept | Etanercept | Etanercept, adalimumab, infliximab | Etanercept | Etanercept, infliximab, adalimumab | Etanercept, adalimumab, infliximab | Etanercept, infliximab |
Other biologic/anti-JAK agents used | None | None | None | Tocilizumab | none | none | Secukinumab, ustekinumab | None |
Clinical response to therapy | Excellent | Transient | Excellent | Partial | Excellent | Etanercept-transient infliximab-excellent, adalimumab-partial | Adalimumab-no response | Etanercept-no response, infliximab- excellent |
Complications of biological treatment | Psoriasis (etanercept) | None | Acute anterior uveitis | None | None | Transient rise in viral RNA, nfusion reaction (infliximab) | Etanercept allergy, Golimumab shingles, Secukinumab allergy | Facial abscess (infliximab) |
cART, combined antiretroviral therapy; JAK, Janus kinase; PsA, psoriatic arthritis; RA, rheumatoid arthritis; SpA, spondyloarthritis; TNF, tumour necrosis factor.