A case is presented of a patient with generalized psoriasis and psoriatic arthritis who received a low-dose Methotrexate treatment for 3 years continuously. At the end of the period he developed a lymphoreticular hyperplasia histopathologically resembling lymphosarcoma. Remission occurred after discontinuance of Methotrexate. The possibility of the immunosuppressive qualities of Methotrexate being the cause of the lymphoid reaction is discussed, and similar cases in the literature are cited. So far, long-term side-effects have played no role in Methotrexate treatment of psoriasis but they may become important when, for instance, immunosuppressive regimes are employed in the therapy of bullous dermatoses.