Evaluating Results of an Interferon-γ Release Assay in Patients With Autoimmune Skin Disease on Hydroxychloroquine

    Rebecca G. Gaffney, Victoria P. Werth
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    TLDR Hydroxychloroquine may cause false results in tuberculosis tests for patients with autoimmune skin diseases.
    The study analyzed the effect of hydroxychloroquine (HCQ) on the QuantiFERON-TB Gold (QFT-G) test outcomes in 119 patients with autoimmune skin diseases. It was found that patients on HCQ had a significantly higher rate of indeterminate QFT-G results (58.6%) compared to those not on HCQ (10.6%), with a p-value of <0.001. This discrepancy was not due to the use of prednisone or other DMARDs. The study concluded that HCQ may interfere with QFT-G testing, suggesting the need for alternative TB screening methods for patients on this medication.
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