Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
|
pubmed:dateCreated |
1985-11-25
|
pubmed:abstractText |
Three of 95 patients with rheumatoid arthritis who were being treated with low-dose (5 to 15 mg/wk) methotrexate sodium developed the clinical, radiographic, and pathologic features of methotrexate-associated pulmonary injury. Marked hypoxemia emphasized the severity of illness in our patients; lowest oxygen pressure values for each patient were 35 mm Hg, 42 mm Hg, and 45 mm Hg. The management of our patients with a pulmonary toxic reaction to methotrexate included discontinuing the drug treatment, antibiotic therapy until an infectious cause was excluded, and high-dose methylprednisolone. Two patients recovered and one died. Contrary to an earlier report that suggested that pneumonitis occurred only with methotrexate sodium doses exceeding 15 mg/wk, our three cases demonstrate that a severe pulmonary toxic reaction may also complicate low-dose weekly methotrexate therapy of rheumatoid arthritis.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
AIM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Nov
|
pubmed:issn |
0003-9926
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
145
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
2035-8
|
pubmed:dateRevised |
2004-11-17
|
pubmed:meshHeading |
pubmed-meshheading:4062454-Arthritis, Rheumatoid,
pubmed-meshheading:4062454-Drug Administration Schedule,
pubmed-meshheading:4062454-Female,
pubmed-meshheading:4062454-Humans,
pubmed-meshheading:4062454-Immunosuppressive Agents,
pubmed-meshheading:4062454-Male,
pubmed-meshheading:4062454-Methotrexate,
pubmed-meshheading:4062454-Methylprednisolone,
pubmed-meshheading:4062454-Middle Aged,
pubmed-meshheading:4062454-Pulmonary Fibrosis
|
pubmed:year |
1985
|
pubmed:articleTitle |
Pneumonitis complicating low-dose methotrexate therapy in rheumatoid arthritis.
|
pubmed:publicationType |
Journal Article,
Case Reports
|