Side effects of hepatitis vaccination are rare. Only a few cases of ar
thritis after hepatitis vaccination have been published. We report on
three cases of vaccination-induced arthritis with different resulting
disease, Two cases show the pattern of reactive arthritis. None of the
m was associated with HLA-B27. In the third case onset of rheumatoid a
rthritis was triggered by hepatitis vaccination. These three cases sho
w that arthritis after hepatitis B vaccination probably is more common
than reported so far, especially in a genetically predisposed subject
(two of our patients expressed HLA-DR4).