Serious pancytopenia from methotrexate treatment of psoriatic arthritis

Other abnormal laboratory data included an albumin of 2.2 g/dL, a blood urea nitrogen of 62 mg/dL, a creatine of 1.6 mg/dL, a C-reactive protein of 14.6 mg/dL, a slightly prolonged prothrombin time with an international normalized ratio of 1.22, and an activated partial thrombin time of 42.9 seconds...

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Veröffentlicht in:The American journal of emergency medicine 2006-05, Vol.24 (3), p.392-394
Hauptverfasser: Chang, Yu-Che, Chen, Jen-Dar, Yen, David H.T., Wang, Lee-Min, Huang, Chun-I, Lee, Chen-Hsen
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container_end_page 394
container_issue 3
container_start_page 392
container_title The American journal of emergency medicine
container_volume 24
creator Chang, Yu-Che
Chen, Jen-Dar
Yen, David H.T.
Wang, Lee-Min
Huang, Chun-I
Lee, Chen-Hsen
description Other abnormal laboratory data included an albumin of 2.2 g/dL, a blood urea nitrogen of 62 mg/dL, a creatine of 1.6 mg/dL, a C-reactive protein of 14.6 mg/dL, a slightly prolonged prothrombin time with an international normalized ratio of 1.22, and an activated partial thrombin time of 42.9 seconds. The occurrence of mucositis or GI inflammation process, in combination with the increased mean corpuscular volume values, may have been an early warning of possible MTX-related side effects such as bone marrow suppression.
doi_str_mv 10.1016/j.ajem.2005.11.022
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subjects Abdomen
Aged
Antirheumatic Agents - adverse effects
Arthritis, Psoriatic - drug therapy
Blood
Bone marrow
Emergency medical care
Hospitalization
Humans
Male
Medical imaging
Medical treatment
Methotrexate - adverse effects
Ostomy
Pancytopenia - chemically induced
Urea
title Serious pancytopenia from methotrexate treatment of psoriatic arthritis
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