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Related Experiment Videos

Methotrexate nodulosis.

K A Jang1, J H Choi, K C Moon

  • 1Department of Dermatology, University of Ulsan, Seoul, Korea.

The Journal of Dermatology
|August 24, 1999
PubMed
Summary
This summary is machine-generated.

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Methotrexate (MTX) nodulosis is a recognized side effect in rheumatoid arthritis patients. This case highlights MTX-induced nodulosis in dermatomyositis, suggesting a broader drug-specific phenomenon.

Area of Science:

  • Dermatology
  • Rheumatology
  • Pathology

Background:

  • Methotrexate (MTX) nodulosis is a known complication in rheumatoid arthritis patients.
  • This phenomenon has not been widely reported in patients treated with MTX for other conditions like dermatological or malignant diseases.
  • The underlying pathophysiology and optimal treatment for MTX nodulosis remain unclear.

Observation:

  • A case of dermatomyositis developed multiple subcutaneous nodules after MTX treatment.
  • Nodules were small, numerous, symmetrical, and grouped on the chest, axillae, upper arms, and thighs.
  • Histopathology of a nodule revealed septal panniculitis.

Findings:

  • MTX nodulosis can occur in patients with dermatomyositis.
  • Discontinuation of MTX and initiation of hydroxychloroquine led to nodule regression.

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  • Histopathological findings indicated septal panniculitis.
  • Implications:

    • MTX nodulosis may be a drug-specific adverse reaction.
    • Awareness is crucial for diagnosing and managing nodule formation in patients on MTX.
    • Hydroxychloroquine may be an effective treatment option for severe cases.