Related Experiment Video
Updated: Jul 6, 2025

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
Published on: March 14, 2025
[Fatal epidermal necrosis due to methotrexate use]
M C Martine Baksteen-van den Berg1, Mischa Veen1,2, E J Rachel Roach3
1Haaglanden Medisch Centrum, Den Haag. Afd. Spoedeisende Hulp.
Abstract:
A 53-year-old patient with known psoriasis presented with painful erosive plaques in existing psoriasis lesions, ulcerations in the mouth, and leukopenia. She used 10 mg of methotrexate daily without folic acid prophylaxis. During admission she developed pancytopenia, liver failure and acute kidney injury. She died after developing toxic shock syndrome. We aim to describe the use and toxic effects of methotrexate, how to recognise toxicity clinically and histologically, and treatment options.
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