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Updated: Sep 11, 2025

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Methotrexate-induced epidermal necrosis.

Christopher Kennedy1,2, John A Thompson1,2

  • 1Oregon Health and Science University, Portland, OR, USA.

Clinical Toxicology (Philadelphia, Pa.)
|August 12, 2025
PubMed
Summary
This summary is machine-generated.

Methotrexate-induced epidermal necrosis is a rare but serious skin reaction. Early diagnosis and treatment with calcium folinate can prevent fatal outcomes.

Area of Science:

  • Dermatology
  • Toxicology
  • Pharmacology

Background:

  • Methotrexate-induced epidermal necrosis is a rare, potentially fatal mucocutaneous reaction.
Keywords:
Stevens-Johnson syndromecutaneous adverse effectsepidermal necrosisfolinic acidmethotrexatetoxic epidermal necrolysis

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  • It clinically mimics Stevens-Johnson syndrome/toxic epidermal necrolysis.
  • Risk factors include age >60, chronic kidney disease, and high-dose methotrexate without folic acid.