Journals / Türk Nefroloji Diyaliz ve Transplantasyon Dergisi / 2010 / Cilt: 19 - Sayı: 2

Severe pancytopenia ınduced by low-dose methotrexate in a hemodialysis patient

Bir hemodiyaliz hastasında düşük doz metotreksat sonucu gelişen şiddetli pansitopeni

Pages
147–149
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

She recovered after folinic acid, granulocyte colony-stimulating factor, antibiotic and daily hemodialysis therapy.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Methotrexate has been used as an important alternative therapy in the treatment of various rheumatic diseases.
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Key Findings & Data:A 35-year-old woman undergoing hemodialysis developed severe stomatitis and pancytopenia after low-dose methotrexate treatment for rheumatoid arthritis.
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Conclusion & Impact:She recovered after folinic acid, granulocyte colony-stimulating factor, antibiotic and daily hemodialysis therapy.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Methotrexate has been used as an important alternative therapy in the treatment of various rheumatic diseases. It is primarily cleared by the kidney. Life-threatening marrow suppression in hemodialysis patients has been reported. A 35-year-old woman undergoing hemodialysis developed severe stomatitis and pancytopenia after low-dose methotrexate treatment for rheumatoid arthritis. She recovered after folinic acid, granulocyte colony-stimulating factor, antibiotic and daily hemodialysis therapy.

Özet

Metotreksat, çeşitli romatizmal hastalıkların tedavisinde kullanılan önemli bir seçenek olup temel atılım yolu böbreklerdir. Hemodiyaliz tedavisi alan hastalarda metotreksat kullanımı sırasında ciddi pansitopeni görülebilmektedir. Bu makalede, hemodiyaliz programında olan ve romatoid artrit tedavisi için düşük doz metotreksat kullanımı sonucu şiddetli pansitopeni ve stomatit gelişen; folinik asit, granülosit koloni uyarıcı faktör, antibiyotik ve günlük diyaliz sonrası düzelen 35 yaşındaki kadın olguyu sunduk.

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Cite This Article

ULU, R., ÇELİKER, H., DOĞUKAN, A., YİĞİT, İ. P., YILDIZ, Y. (2022). Severe pancytopenia ınduced by low-dose methotrexate in a hemodialysis patient. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi, Cilt: 19 - Sayı: 2, 147–149. https://ajindex.com/articles/655029

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References (1)

  1. Cronstein BN: Molecular therapeutics. Methotrexate and its mechanisms of action. Arthritis Rheum 1996; 39:1951-1960 2. Basile C, Montanaro A, Semeraro A. Should low-dose methotrexate therapy be prescribed to dialysis patients? Nephrol Dial Transplant 2002; 17:530-531 3. Cheung KK, Chow KM, Szeto CC, Tai MH, Kwan BC, Li PK.Fatal pancytopenia in a hemodialysis patient after treatment with lowdose methotrexate. J Clin Rheumatol 2009; 15:177-180 4. Sun CY, Lin HC, Chen YC, Tsai CR, Wu MS: Leukemoid reaction after methotrexate-induced pancytopenia in a patient undergoing continuous ambulatory peritoneal dialysis. Chang Gung Med 2006; 29:513-516 5. Diskin CJ, Stokes TJ, Dansby LM, Radcliff L, Carter TB: Removal of methotrexate by peritoneal dialysis and hemodialysis in a single patient with end-stage renal disease. Am J Med Sci 2006; 332: 156-158 6. Kremer JM, Lee JK: The safety and effi cacy of the use of methotrexate in long-term therapy for rheumatoid arthritis. Arthritis Rheum 1986; 29:822-831 7. Gutierrez-Ureña S, Molina JF, García CO, Cuéllar ML, Espinoza LR: Pancytopenia secondary to methotrexate therapy in rheumatoid arthritis. Arthritis Rheum 1996; 39:272-276 8. Rheumatoid arthritis Clinical Trial Archive Group: The effect of age and renal function on the effi cacy and toxicity of methotrexate in rheumatoid arthritis. J Rheumatol 1995; 22:218-223 9. Ellman MH, Ginsberg D: Low dose methotrexate and severe neutropenia in patients undergoing renal dialysis. Arthritis Rheum 1990; 33 (7):1060-1061 10. Cohen PR, Schulze KE, Nelson BR: Pancytopenia after a single intradermal infi ltration of methotrexate. J Drugs Dermatol 2005; 4:648-651 11. Seyffart G. Poison Index: The treatment of acute intoxication. Lengerich: Pabst Science Publishers, 1997; 449-451 12. Wall SM, Johansen MJ, Molony DA, DuBose TD Jr, Jaffe N, Madden T: Effective clearance of methotrexate using high-fl ux hemodialysis membranes. Am J Kidney Dis 1996; 28:846-854 13. Seneschal J, Héliot-Hostein I, Taieb A: Pancytopenia induced by low-dose methotrexate in a haemodialysis patient treated for bullous pemphigoid. J Eur Acad Dermatol 2007; 21:1135-1136