PNEUMOCYSTIS-CARINII PNEUMONIA COMPLICATING LOW-DOSE METHOTREXATE TREATMENT FOR RHEUMATOID-ARTHRITIS

被引:55
作者
WOLLNER, A
MOHLEBOETANI, J
LAMBERT, RE
PERRUQUET, JL
RAFFIN, TA
MCGUIRE, JL
机构
[1] STANFORD UNIV,MED CTR,DIV IMMUNOL & RHEUMATOL,STANFORD,CA 94305
[2] STANFORD UNIV,MED CTR,DEPT MED,STANFORD,CA 94305
[3] GEISINGER MED CTR,DEPT RHEUMATOL,DANVILLE,PA 17821
关键词
D O I
10.1136/thx.46.3.205
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Low dose methotrexate has been used effectively for various rheumatic and non-rheumatic diseases. Three cases of Pneumocystis carinii pneumonia occurring during treatment of rheumatoid arthritis with low dose methotrexate are presented. Several mechanisms might contribute to impaired immunity and the rare development of opportunist lung infection with methotrexate. A high degree of suspicion may result in earlier diagnosis and treatment.
引用
收藏
页码:205 / 207
页数:3
相关论文
共 12 条
[1]  
ANDERSON LL, 1970, CANCER RES, V30, P1344
[2]   LOW-DOSE ORAL METHOTREXATE IN RHEUMATOID-ARTHRITIS - AN UNCONTROLLED TRIAL AND REVIEW OF THE LITERATURE [J].
GROFF, GD ;
SHENBERGER, KN ;
WILKE, WS ;
TAYLOR, TH .
SEMINARS IN ARTHRITIS AND RHEUMATISM, 1983, 12 (04) :333-347
[3]   FATAL INFECTIONS IN SYSTEMIC LUPUS-ERYTHEMATOSUS - THE ROLE OF OPPORTUNISTIC ORGANISMS [J].
HELLMANN, DB ;
PETRI, M ;
WHITINGOKEEFE, Q .
MEDICINE, 1987, 66 (05) :341-348
[4]   RHEUMATOID-ARTHRITIS, METHOTREXATE THERAPY, AND PNEUMOCYSTIS PNEUMONIA [J].
LEFF, RL ;
CASE, JP ;
MCKENZIE, R .
ANNALS OF INTERNAL MEDICINE, 1990, 112 (09) :716-716
[5]   FOLATE STATUS OF RHEUMATOID-ARTHRITIS PATIENTS RECEIVING LONG-TERM, LOW-DOSE METHOTREXATE THERAPY [J].
MORGAN, SL ;
BAGGOTT, JE ;
ALTZSMITH, M .
ARTHRITIS AND RHEUMATISM, 1987, 30 (12) :1348-1356
[6]   METHOTREXATE IN THE TREATMENT OF CORTICOSTEROID-DEPENDENT ASTHMA - A DOUBLE-BLIND CROSSOVER STUDY [J].
MULLARKEY, MF ;
BLUMENSTEIN, BA ;
ANDRADE, WP ;
BAILEY, GA ;
OLASON, I ;
WETZEL, CE .
NEW ENGLAND JOURNAL OF MEDICINE, 1988, 318 (10) :603-607
[7]   ASSAY OF THERAPEUTIC DOSES OF METHOTREXATE IN BODY-FLUIDS OF PATIENTS WITH PSORIASIS [J].
NOBLE, WC ;
PATH, MRC ;
WHITE, PM ;
BAKER, H .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1975, 64 (02) :69-76
[8]   IMMUNOLOGICAL STUDIES OF RHEUMATOID-ARTHRITIS PATIENTS TREATED WITH METHOTREXATE [J].
OLSEN, NJ ;
CALLAHAN, LF ;
PINCUS, T .
ARTHRITIS AND RHEUMATISM, 1987, 30 (05) :481-488
[9]   PNEUMOCYSTIS-CARINII PNEUMONIA FOLLOWING METHOTREXATE THERAPY FOR RHEUMATOID-ARTHRITIS [J].
PERRUQUET, JL ;
HARRINGTON, TM ;
DAVIS, DE .
ARTHRITIS AND RHEUMATISM, 1983, 26 (10) :1291-1292
[10]  
TUGWELL P, 1987, ANN INTERN MED, V107, P418