Disseminated histoplasmosis in patients receiving low-dose methotrexate therapy for psoriasis

Witty, L. A.

doi:10.1001/archderm.128.1.91

Cited by 14 publications

(7 citation statements)

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“…Opportunistic infections have also been reported in patients taking MTX; these occur at any time, usually within the first 12 weeks of treatment, and the risk remains throughout the treatment course . Most reports are found in patients with rheumatoid arthritis who were on concurrent medications, but opportunistic infections have been reported rarely in patients treated for psoriasis . MTX should be discontinued in patients who develop opportunistic infections.…”

Section: Special Circumstancesmentioning

confidence: 99%

British Association of Dermatologists’ guidelines for the safe and effective prescribing of methotrexate for skin disease 2016

Weatherhead²,

et al. 2016

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Section: Special Circumstancesmentioning

confidence: 99%

British Association of Dermatologists’ guidelines for the safe and effective prescribing of methotrexate for skin disease 2016

Weatherhead²,

et al. 2016

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“…Opportunistic infections have been more commonly reported in chronic methotrexate users and in patients also using CSs. There have been reports of P. jiroveci ( carinii ) pneumonia, cytomegalovirus, Epstein‐Barr virus, invasive pulmonary Aspergillus , disseminated Histoplasmosis , disseminated Nocardia , and Listeria monocytogenes 52–58…”

Section: Inflammatory Bowel Diseasementioning

confidence: 99%

Methods to Avoid Infections in Patients with Inflammatory Bowel Disease

Aberra

Lichtenstein

2005

Inflammatory Bowel Diseases

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Infections have been reported in patients with inflammatory bowel disease (IBD), especially in association with anti-inflammatory and immunomodulatory medications used to treat IBD. Unfortunately, there is a dearth of information on infectious complication risk in patients with IBD. This review describes infectious complications reported in patients with IBD and provides a framework for future studies to assess potential risk factors and incidence for infection. Recommendations are also provided for prevention of infection.

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“…A number of cases of DH have been reported in patients treated with MTX, CT or antitumour necrosis factor agents for RA or psoriasis . Between 1998 and 2009, 26 cases of DH were observed in patients with RA, but none presented with signs of dermatomyositis .…”

Section: Discussionmentioning

confidence: 99%

Disseminated histoplasmosis partially mimicking a dermatomyositis in a patient with rheumatoid arthritis

et al. 2015

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Histoplasma capsulatum var. capsulatum is a dimorphic fungus endemic to America and subtropical regions. Several cases of this opportunist mycosis have been reported in immunocompromised patients. We report the case of a patient treated with methotrexate and corticosteroid therapy for rheumatoid arthritis and who presented with disseminated histoplasmosis that partially mimicked a dermatomyositis.

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Disseminated histoplasmosis in patients receiving low-dose methotrexate therapy for psoriasis

Cited by 14 publications

References 0 publications

British Association of Dermatologists’ guidelines for the safe and effective prescribing of methotrexate for skin disease 2016

British Association of Dermatologists’ guidelines for the safe and effective prescribing of methotrexate for skin disease 2016

Methods to Avoid Infections in Patients with Inflammatory Bowel Disease

Disseminated histoplasmosis partially mimicking a dermatomyositis in a patient with rheumatoid arthritis

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