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Autoimmune hazards of hepatitis B vaccine

Source: www.vran.org
Topic: Autoimmune hepatitis
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Sort Desciption: This paper points out that information on the safety of hepatitis B vaccine (HBV) is biased as compared to classical requirements of evidence-based medicine (EBM), as exemplified by ...

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According to Hippocratic tradition, the safety level of a preventive medicine must be very high, as it is aimed at protecting people against diseases that they may not contract. This paper points out that information on the safety of hepatitis B vaccine (HBV) is biased as compared to classical requirements of evidence-based medicine (EBM), as exemplified by a documented selectivity in the presentation or even publication of available clinical or epidemiological data. Then, a review is made of data suggesting that HBV is remarkable by the frequency, the severity and the variety of its complications, some of them probably related to a mechanism of molecular mimicry leading to demyelinating diseases, and the others reproducing the spectrum of non-hepatic manifestations of natural hepatitis B. To be explained, this unusual spectrum of toxicity requires additional investigations based upon complete release of available data. D 2004 Elsevier B.V. All rights reserved. Keywords: Autoimmunity; Evidence-based medicine; Hepatitis B; Molecular mimicry; Vaccination Contents 1. An unusual triptyque 97 2. Non-neurological hazards 98 3. Neurological hazards 99 4. Conclusion . 99 Take-home messages . 99 References 100 Strangely enough, for cost-effective as it is, the pharmaceutical sector of vaccine development remains far from the elementary requirements of evidence-based medicine (EBM) 1 . Whereas personal experience suggested that editors, even in leading medical journal, show a regrettable selectivity in publishing papers on this topics, this has been 1568-9972/$ see front matter D 2004 Elsevier B.V. All rights reserved. doi:10.1016/j.autrev.2004.10.002 * Tel.: +33 01 39 67 01 10; fax: +33 01 39 67 01 11. E-mail address: agosgirard@aol.com. ...

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