Methotrexate-induced pancytopenia in two patients with renal dysfunction Böbrek i̇şlevleri bozuk i̇ki olguda metotreksat kullanimina baǧli pansitopeni gelişmesi
Turkish Nephrology, Dialysis and Transplantation Journal, cilt.20, sa.1, ss.93-95, 2011 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 20 Sayı: 1
- Basım Tarihi: 2011
- Doi Numarası: 10.5262/tndt.2011.1001.16
- Dergi Adı: Turkish Nephrology, Dialysis and Transplantation Journal
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.93-95
- Anahtar Kelimeler: Methotrexate, Toxicity, Pancytopenia, Renal failure, Haemodialysis
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Methotrexate (MTX) is cleared primarily by renal excretion. The excretion of MTX is delayed in subjects with renal dysfunction and elevated plasma MTX concentrations develop which lead to bone marrow toxicities and possible pancytopenia. In this case report, we presented two advanced age patients with MTX-induced pancytopenia. The first patient on hemodialysis was diagnosed with seronegative arthritis while the second patient with congestive heart failure was diagnosed with rheumatoid arthritis and both of them were given treatment with a low dose of MTX (7.5 mg/week).