Pericarditis: a rare complication of methotrexate therapy

被引:10
作者
Mohyuddin, Tayyab [1 ]
Elyan, Mazen [1 ]
Kushner, Irving [1 ]
机构
[1] Metrohlth Med Ctr, Cleveland, OH 44109 USA
关键词
methotrexate; pericarditis;
D O I
10.1007/s10067-007-0630-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Serositis is a rare complication of methotrexate (MTX) administration. We report a 60-year-old man with rheumatoid arthritis who developed pericarditis after taking his weekly MTX dose, which recurred within hours after 2 subsequent weekly MTX doses. Pericarditis has not recurred after discontinuance of MTX over 3 years ago. We conclude that he had MTX-induced pericarditis, based on the close temporal relationship between MTX ingestion and manifestations of pericarditis on three distinct occasions because of the previous reports of MTX-induced pericarditis and because pericarditis has not recurred after MTX withdrawal.
引用
收藏
页码:2157 / 2158
页数:2
相关论文
共 7 条
[1]   LEUKOCYTE MIGRATION-INHIBITION IN METHOTREXATE-INDUCED PNEUMONITIS - EVIDENCE FOR AN IMMUNOLOGICAL CELL-MEDIATED MECHANISM [J].
AKOUN, GM ;
GAUTHIERRAHMAN, S ;
MAYAUD, CM ;
TOUBOUL, JL ;
DENIS, MF .
CHEST, 1987, 91 (01) :96-99
[2]  
Combe B, 1993, Eur J Med, V2, P153
[3]   METHOTREXATE-INDUCED PERICARDITIS AND PERICARDIAL-EFFUSION - FIRST REPORTED CASE [J].
FORBAT, LN ;
HANCOCK, BW ;
GERSHLICK, AH .
POSTGRADUATE MEDICAL JOURNAL, 1995, 71 (834) :244-245
[4]  
Palungwachira Pranee, 1998, Journal of the Medical Association of Thailand, V81, P141
[5]  
RACAUD O, 1994, REV MED SUISSE ROMAN, V114, P343
[6]   Serosal complications of single-agent low-dose methotrexate used in gestational trophoblastic diseases: first reported case of methotrexate-induced peritonitis [J].
Sharma, S ;
Jagdev, S ;
Coleman, RE ;
Hancock, BW ;
Lorigan, PC .
BRITISH JOURNAL OF CANCER, 1999, 81 (06) :1037-1041
[7]   METHOTREXATE PNEUMONITIS - BRONCHOALVEOLAR LAVAGE FINDINGS SUGGEST AN IMMUNOLOGICAL DISORDER [J].
WHITE, DA ;
RANKIN, JA ;
STOVER, DE ;
GELLENE, RA ;
GUPTA, S .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1989, 139 (01) :18-21