The use of methotrexate for treating childhood atopic dermatitis: a multicenter retrospective study

Yossi Taieb1,2, Sharon Baum1,2, Dan Ben Amitai2,3

  • 1a Dermatology Department , Sheba Medical Center , Ramat Gan , Israel.

Insights

Methotrexate effectively treats severe childhood atopic dermatitis. Over half of pediatric patients showed improvement, with significant score reductions and good tolerability, making it a viable option for refractory cases.

Area of Science:

  • Dermatology
  • Pediatric Medicine
  • Pharmacology

Background:

  • Atopic dermatitis is a chronic inflammatory skin condition.
  • Methotrexate is an off-label systemic treatment for severe atopic dermatitis.
  • Pediatric patients with uncontrolled atopic dermatitis often require systemic therapy.

Purpose of the Study:

  • To evaluate the safety and efficacy of methotrexate in children with atopic dermatitis.
  • To assess treatment outcomes in pediatric patients with refractory atopic dermatitis.

Main Methods:

  • Multicenter, retrospective study design.
  • Review of medical records for 26 pediatric patients.
  • Analysis of Investigator Global Assessment (IGA) scores before and after methotrexate treatment.

Main Results:

  • 53.85% of patients experienced clinical improvement at 3 and 6 months.
  • Significant reduction in IGA scores observed at 3 and 6 months post-treatment.
  • High tolerability with only one patient discontinuing treatment due to adverse events (10.35%).
  • Median patient satisfaction rate of 7.5/10.

Conclusions:

  • Methotrexate is a tolerable and effective treatment for refractory childhood atopic dermatitis.
  • The study supports the use of methotrexate in pediatric patients with severe atopic dermatitis.
  • Further research may explore long-term outcomes and optimal dosing.
Abstract

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