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Rheumatology 2003; 42: 802-803
© 2003 British Society for Rheumatology
Letters to the Editor |
Chronic pulmonary toxicity of methotrexate and rheumatoid arthritis
Department of Internal Medicine and Respiratory Diseases, Section of Autoimmune Diseases, A.O. Villa SofiaCTO, Palermo, Italy
| The first 10% of the full text of this article appears below. |
SIR, Methotrexate (MTX) is the most frequently used second-line therapy in rheumatoid arthritis (RA) and is used widely in many other autoimmune disorders. Pulmonary toxicity has been reported in 27% of patients receiving low-dose MTX [1], and acute hypersensitivity pneumonitis is the most feared complication [2]. It has also been suggested that chronic pulmonary fibrosis can