Recurrent recall of sunburn by methotrexate

An unusual recall reaction of sunburn with methotrexate use has been previously reported. Heretofore, all reports have documented a single occurrence of this reaction in each patient. We report, for the first time, a patient who developed recurrent facial sunburn recalls while receiving methotrexate for psoriasis. This reaction is distinct from true photosensitivity. Photosensitivity is listed in the drug brochure for methotrexate. However, a review of the literature does not support true photosensitivity associated with methotrexate.