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Metotreksat Kullanıma Bağlı Pansitopeni

Year 2020, Volume: 2 Issue: 3, 76 - 77, 05.12.2020

Abstract

Methotrexate;
Folic acid analogue and antagonist, commonly used immunosuppressive agent. It
is used as long-term and low-dose in patients with rheumatoid arthritis.
Although anemia, thrombocytopenia or leukopenia are rare in hematological
toxicity of low-dose MTX therapy, pancytopenia is rarely encountered. Herein,
we aimed to present a case with pancytopenia due to MTX use.

References

  • 1- van Ede AE, Laan RF, Blom HJ, De Abreu RA, van de Putte LB. Methotrexate in rheumatoid arthritis: an update with focus on mechanisms involved in toxicity. Semin Arthritis Rheum 1998;27:277-92
  • 2- Joel M Kremer, James R O'Dell, Paul L Romain, Major Side Effects Of Low-Dose Methotrexate. In uptodate.com, Oct 2019.
  • 3- Boulanger H, Launay-Vacher V, Hierniaux P, Fau JB, Deray G. Severe methotrexate intoxication in a haemodialysis patient treated for rheumatoid arthritis. Nephrol Dial Transplant 2001;16:1087.
  • 4- van Ede AE, Laan RF, Rood MJ. Effect Of Folic Or Folinic Acid Supplementation On The Toxicity And Efficacy Of Methotrexate In Rheumatoid Arthritis: A Forty-Eight Week, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study. Arthritis Rheum 2001; 44:1515.
  • 5- Saag KG, Teng GG, Patkar NM. American College Of Rheumatology 2008 Recommendations For The Use Of Nonbiologic And Biologic Disease-Modifying Antirheumatic Drugs In RheumatoidArthritis. Arthritis Rheum 2008; 59:762.
  • 6- Weinblatt ME, Fraser P. Elevated Mean Corpuscular Volume As A Predictor Of Hematologic Toxicity Due To Methotrxate Therapy. Aerthritis Rheum 1989; 32:1592
  • 7- Gutierrez-Ureña S, Molina JF, García CO. Pancytopenia Secondary To Methotrexate Therapy İn Rheumatoid Arthritis. Arthritis Rheum 1996; 39:272.
  • 8- Kremer JM, Maini RN, Romain PL. Major Side Effects Of Low-DoseMethotrexate. Uptodate 2009; 17.1Version. 3. Altındağ Ö, Küçükoğlu B. Intoxication Due To High Dose Methotrexate İn A Patient With Arthritis: A case report. Turk J Rheu-matol 2011; 26: 58-60.

Metotreksat Kullanıma Bağlı Pansitopeni

Year 2020, Volume: 2 Issue: 3, 76 - 77, 05.12.2020

Abstract

Metotreksat; folik asit analoğu ve antagonisti olup, sık kullanılan immunsupresif ajandır. Romatoid artrit hastalarında uzun süreli ve düşük dozlu olarak kullanılmaktadır.
Düşük doz MTX tedavisinin hematolojik toksisitesinde anemi, trombositopeni veya lökopeni durumları az görülmesine rağmen pansitopeni
çok daha nadir olarak karşımıza çıkmaktadır. Biz burada, MTX kullanımına bağlı pansitopeni gelişen olguyu sunmayı amaçladık.

References

  • 1- van Ede AE, Laan RF, Blom HJ, De Abreu RA, van de Putte LB. Methotrexate in rheumatoid arthritis: an update with focus on mechanisms involved in toxicity. Semin Arthritis Rheum 1998;27:277-92
  • 2- Joel M Kremer, James R O'Dell, Paul L Romain, Major Side Effects Of Low-Dose Methotrexate. In uptodate.com, Oct 2019.
  • 3- Boulanger H, Launay-Vacher V, Hierniaux P, Fau JB, Deray G. Severe methotrexate intoxication in a haemodialysis patient treated for rheumatoid arthritis. Nephrol Dial Transplant 2001;16:1087.
  • 4- van Ede AE, Laan RF, Rood MJ. Effect Of Folic Or Folinic Acid Supplementation On The Toxicity And Efficacy Of Methotrexate In Rheumatoid Arthritis: A Forty-Eight Week, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study. Arthritis Rheum 2001; 44:1515.
  • 5- Saag KG, Teng GG, Patkar NM. American College Of Rheumatology 2008 Recommendations For The Use Of Nonbiologic And Biologic Disease-Modifying Antirheumatic Drugs In RheumatoidArthritis. Arthritis Rheum 2008; 59:762.
  • 6- Weinblatt ME, Fraser P. Elevated Mean Corpuscular Volume As A Predictor Of Hematologic Toxicity Due To Methotrxate Therapy. Aerthritis Rheum 1989; 32:1592
  • 7- Gutierrez-Ureña S, Molina JF, García CO. Pancytopenia Secondary To Methotrexate Therapy İn Rheumatoid Arthritis. Arthritis Rheum 1996; 39:272.
  • 8- Kremer JM, Maini RN, Romain PL. Major Side Effects Of Low-DoseMethotrexate. Uptodate 2009; 17.1Version. 3. Altındağ Ö, Küçükoğlu B. Intoxication Due To High Dose Methotrexate İn A Patient With Arthritis: A case report. Turk J Rheu-matol 2011; 26: 58-60.
There are 8 citations in total.

Details

Primary Language Turkish
Subjects Emergency Medicine
Journal Section Case Reports
Authors

Fatih Güneysu 0000-0002-8433-3763

Ayhan Sarıtaş 0000-0002-4302-1093

Ensar Durmuş 0000-0001-7722-6639

Semih Güneysu This is me 0000-0002-3355-9084

Publication Date December 5, 2020
Submission Date November 25, 2019
Published in Issue Year 2020 Volume: 2 Issue: 3

Cite

APA Güneysu, F., Sarıtaş, A., Durmuş, E., Güneysu, S. (2020). Metotreksat Kullanıma Bağlı Pansitopeni. Eurasian Journal of Toxicology, 2(3), 76-77.
AMA Güneysu F, Sarıtaş A, Durmuş E, Güneysu S. Metotreksat Kullanıma Bağlı Pansitopeni. Eurasian J Tox. December 2020;2(3):76-77.
Chicago Güneysu, Fatih, Ayhan Sarıtaş, Ensar Durmuş, and Semih Güneysu. “Metotreksat Kullanıma Bağlı Pansitopeni”. Eurasian Journal of Toxicology 2, no. 3 (December 2020): 76-77.
EndNote Güneysu F, Sarıtaş A, Durmuş E, Güneysu S (December 1, 2020) Metotreksat Kullanıma Bağlı Pansitopeni. Eurasian Journal of Toxicology 2 3 76–77.
IEEE F. Güneysu, A. Sarıtaş, E. Durmuş, and S. Güneysu, “Metotreksat Kullanıma Bağlı Pansitopeni”, Eurasian J Tox, vol. 2, no. 3, pp. 76–77, 2020.
ISNAD Güneysu, Fatih et al. “Metotreksat Kullanıma Bağlı Pansitopeni”. Eurasian Journal of Toxicology 2/3 (December 2020), 76-77.
JAMA Güneysu F, Sarıtaş A, Durmuş E, Güneysu S. Metotreksat Kullanıma Bağlı Pansitopeni. Eurasian J Tox. 2020;2:76–77.
MLA Güneysu, Fatih et al. “Metotreksat Kullanıma Bağlı Pansitopeni”. Eurasian Journal of Toxicology, vol. 2, no. 3, 2020, pp. 76-77.
Vancouver Güneysu F, Sarıtaş A, Durmuş E, Güneysu S. Metotreksat Kullanıma Bağlı Pansitopeni. Eurasian J Tox. 2020;2(3):76-7.

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