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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1992-11-2
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pubmed:abstractText |
We report the use of dynamic hepatic scintigraphy in the assessment of the hepatic status of psoriatic patients before and during methotrexate therapy. Eighty-seven paired dynamic scans and percutaneous liver biopsies were performed in 63 patients. The liver biopsies were graded according to Warin et al. with fibrosis of grade 2 or worse being a strong indication for withdrawal of methotrexate. The sensitivity of dynamic hepatic scintigraphy in detecting fibrosis of grade 2 or worse was 83.3% and the specificity was 81.5%. The predictive value of a normal scan for fibrosis of grade 0-1 was high (98.5%) although the predictive value of an abnormal scan for fibrosis of grade 2 or worse was low (25%). Dynamic hepatic scintigraphy may therefore offer a means to reduce the number of liver biopsies necessary in patients receiving methotrexate for psoriasis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0007-0963
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
127
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
122-5
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1390139-Adult,
pubmed-meshheading:1390139-Aged,
pubmed-meshheading:1390139-Aged, 80 and over,
pubmed-meshheading:1390139-Biopsy, Needle,
pubmed-meshheading:1390139-Female,
pubmed-meshheading:1390139-Humans,
pubmed-meshheading:1390139-Liver,
pubmed-meshheading:1390139-Liver Cirrhosis,
pubmed-meshheading:1390139-Male,
pubmed-meshheading:1390139-Methotrexate,
pubmed-meshheading:1390139-Middle Aged,
pubmed-meshheading:1390139-Predictive Value of Tests,
pubmed-meshheading:1390139-Psoriasis,
pubmed-meshheading:1390139-Sensitivity and Specificity
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pubmed:year |
1992
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pubmed:articleTitle |
Dynamic hepatic scintigraphy in the screening of psoriatic patients for methotrexate-induced hepatotoxicity.
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pubmed:affiliation |
Department of Dermatology, Royal Victoria Hospital, Belfast, U.K.
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pubmed:publicationType |
Journal Article
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