Small-Vessel Vasculitis and Methotrexate
Authors: CARA R. MARKS
Journal: Annals of Internal Medicine (1984)

Letters and Corrections1 June 1984Small-Vessel Vasculitis and MethotrexateCARA R. MARKS, R.N., ROBERT F. WILLKENS, M.D., KENNETH R. WILSKE, M.D., PAUL B. BROWN, M.D.CARA R. MARKS, R.N.Search for more papers by this author, ROBERT F. WILLKENS, M.D.Search for more papers by this author, KENNETH R. WILSKE, M.D.Search for more papers by this author, PAUL B. BROWN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-100-6-916_1 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: The use of chemotherapeutic agents is clearly associated with hypersensitivity reactions, including anaphylaxis and urticarial reactions when these drugs are used in moderate or high dose (1). As the use of methotrexate to treat rheumatoid arthritis becomes widespread (2), adverse reactions such as pulmonary toxicity (3), formerly thought limited to high-dose use (4), are being seen with low-dose pulse regimens. We report the occurrence of small-vessel vasculitis in eight patients being treated with methotrexate, 15 mg/wk or less, for arthritis. Seven patients had positive rheumatoid factor and classic rheumatoid arthritis, and one had psoriatic arthritis. The vasculitis...References1. WEISSBRUNO RS. Hypersensitivity reactions to cancer chemotherapeutic agents. Ann Intern Med. 1981;94:66-77. LinkGoogle Scholar2. WILLKENSWATSON RM. Methotrexate: a perspective of its use in the treatment of rheumatic disease. J Lab Clin Med. 1982;100:314-21. MedlineGoogle Scholar3. CANNONWARDCLEGGSAMUELSONABBOTT GJDCT. Acute lung disease associated with low-dose pulse methotrexate therapy in patients with rheumatoid arthritis. Arthritis Rheum. 1983;26:1269-74. CrossrefMedlineGoogle Scholar4. SOSTMANMATTHAYPUTMANWALKER-SMITH HRCG. Methotrexate-induced pneumonitis. Medicine. 1976;55:371-82. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Harborview Medical Center Virginia Mason Hospital University of Washington Seattle, WA 98104 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByTraditional DMARDsMethotrexate-associated EBV-positive vasculitis in the skin: a report of two cases simulating rheumatoid vasculitisTraditional DMARDsMethotrexate, Leflunomide, Sulfasalazine, Hydroxychloroquine, and Combination TherapiesVascular Toxicity of Antineoplastic AgentsRheumatoid arthritis: A review of the cutaneous manifestationsA Review of Methotrexate-Induced Accelerated NodulosisCutaneous and Systemic Manifestations of Drug-Induced VasculitisMethotrexate-responsive chronic idiopathic urticaria: a report of two cases.Colchicine Therapy for Low-Dose-Methotrexate-Induced Accelerated Nodulosis in a Rheumatoid Arthritis PatientMethotrexate-induced papular eruption in patients with rheumatic diseases: A distinctive adverse cutaneous reaction produced by methotrexate in patients with collagen vascular diseasesLeukocytoclastic vasculitis induced by low-dose methotrexate: in vitro evidence for an immunologic mechanismCutaneous necrotizing vasculitis after low dose methotrexate therapy for rheumatoid arthritis: A possible manifestation of methotrexate hypersensitivityMETHOTREXATE USE IN RHEUMATOID ARTHRITISTHE REMARKABLE SPECTRUM OF METHOTREXATE TOXICITIESMethotrexate-associated appearance and rapid progression of rheumatoid nodules in systemic-onset juvenile rheumatoid arthritisMethotrexate related cutaneous vasculitisNeurological manifestation of vasculitis: Update on immunopathogenic mechanisms and clinical featuresPulmonary involvement in rheumatoid arthritisMethotrexate in Rheumatoid ArthritisLong-term methotrexate therapy for rheumatoid arthritisResolve: Methotrexate is the drug of choice after NSAIDs in rheumatoid arthritisEruption of nodulosis and vasculitis during methotrexate therapy for rheumatoid arthritisCUTANEOUS VASCULITIS AFTER INTERMEDIATE DOSE OF METHOTREXATE (IDMTX)METHOTREXATE IN RHEUMATOID ARTHRITISMethotrexate in psoriasis: Revised guidelinesMethotrexate in rheumatoid arthritisHypersensitivity reactions from antineoplastic agentsSweet's syndrome in association with solid tumorsTherapeutic Approaches to the Treatment of Rheumatoid DiseaseAntiinflammatory and Immunosuppressive Drugs in the Treatment of Rheumatoid ArthritisPancytopenia associated with low dose pulse methotrexate in the treatment of rheumatoid arthritis 1 June 1984Volume 100, Issue 6Page: 916-916KeywordsArthritisChemotherapeutic agentsDrugsHeart rateHypersensitivityMethotrexatePsoriatic arthritisRheumatoid arthritisToxicityVasculitis Issue Published: 1 June 1984 PDF DownloadLoading ...