Publikation
Mucocutaneous Ulcerations and Pancytopenia due to Methotrexate Overdose
Wissenschaftlicher Artikel/Review - 07.11.2016
Knoll Katharina, Anzengruber Florian, Cozzio Antonio, French Lars E, Murer Carla, Navarini Alexander A
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Methotrexate (MTX) is an antifolic drug used in the treatment of immune-mediated and neoplastic diseases. Initiation or dosage changes in MTX therapy can cause mucositis and bone marrow suppression. Skin lesions due to acute MTX toxicity are rare, but they serve as a herald for later-onset pancytopenia. Therefore, identification of those cutaneous lesions might help to initiate rescue strategies at an early stage. Here we describe a case with mucocutaneous ulcerations and pancytopenia due to overdosed MTX.