Related Experiment Video
Updated: Jul 10, 2026

Minimal Erythema Dose (MED) Testing
Published on: May 28, 2013
Acral erythema with oral methotrexate in a child
Carly R Varela1, Joseph McNamara, Richard J Antaya
1Department of Pediatrics, Yale University School of Medicine and Yale New Haven Hospital, New Haven, Connecticut, USA. varela@email.chop.edu
Abstract:
Acral erythema is a rare cutaneous reaction that has been associated with various chemotherapy regimens. Most occurrences have been described in adult patients. Recently, methotrexate has been implicated in the development of acral erythema; however, pediatric reports are few. All of the reports in the pediatric and adult literature have described patients receiving moderate to high-dose intravenous methotrexate. Here, we describe an instance of standard-dose oral methotrexate-associated acral erythema in a young girl with acute lymphoblastic leukemia, and review the recent literature as it relates to pediatric patients.
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