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Rheumatology 2001; 40: 341-342
© 2001 British Society for Rheumatology

Letters to the Editor

Late reactivation of spinal tuberculosis by low-dose methotrexate therapy in a patient with rheumatoid arthritis

K. Binymin and R. G. Cooper

Department of Rheumatology, University of Manchester, Rheumatic Diseases Centre, Hope Hospital, Stott Lane, Salford M6 8HD, UK

The first 10% of the full text of this article appears below.

SIR, It is generally accepted that the use of chronic corticosteroid treatment predisposes to primary tuberculosis (TB) and reactivation of TB infection [1], and most of the TB cases reported in rheumatoid arthritis (RA) and other rheumatic diseases are associated with the use of long-term corticosteroid therapy [2]. A handful of cases of primary TB associated with the use of low-dose methotrexate (MTX) have been reported in patients with psoriasis [3]. We believe, however, . . . [Full Text of this Article]


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