Methotrexate osteopathy in rheumatic disease.

Abstract:

OBJECTIVE:To determine whether two adults with stress fractures receiving low weekly doses of methotrexate had methotrexate osteopathy. CASE REPORTS:Two adult patients developed features consistent with methotrexate osteopathy while receiving low weekly doses of methotrexate. METHODS:Iliac crest biopsy samples were taken and bone histomorphometry carried out. RESULTS:Symptoms resolved when the methotrexate was discontinued. Bone histology showed changes consistent with osteoblast inhibition by methotrexate. CONCLUSIONS:When given in low doses for prolonged periods, methotrexate may have adverse effects on bone, particularly in post-menopausal women.

journal_name

Ann Rheum Dis

authors

Preston SJ,Diamond T,Scott A,Laurent MR

doi

10.1136/ard.52.8.582

subject

Has Abstract

pub_date

1993-08-01 00:00:00

pages

582-5

issue

8

eissn

0003-4967

issn

1468-2060

journal_volume

52

pub_type

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