Radiation recall dermatitis induced by methotrexate in a patient with Hodgkin's disease.
Am J Clin Oncol
; 23(5): 531-3, 2000 Oct.
Article
em En
| MEDLINE
| ID: mdl-11039518
Radiation recall dermatitis refers to an inflammatory skin reaction at a previously irradiated field subsequent to chemotherapy administration. A number of antineoplastic agents have been reported to cause this phenomenon. We observed radiation recall dermatitis in a patient with stage IV nodular sclerosing Hodgkin's disease after methotrexate therapy for acute graft-versus-host disease (GVHD) prophylaxis. The patient had previously undergone matched related bone marrow transplantation with busulfan and cyclophosphamide as a preparative regimen. Subsequently, she received cyclosporine and methotrexate for acute GVHD prophylaxis. Two areas of skin previously irradiated to 3,000 cGy developed radiation recall dermatitis after two doses of methotrexate given 2 days apart and exacerbated by the third and fourth doses. This reaction occurred 34 days after the last dose of radiation therapy (RT). We believe this is the first case of radiation recall dermatitis after methotrexate therapy. Given the increased use of methotrexate in several neoadjuvant and adjuvant protocols in association with RT, its potential to produce radiation recall reactions should be considered.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Radiodermite
/
Doença de Hodgkin
/
Metotrexato
/
Transplante de Medula Óssea
/
Toxidermias
/
Doença Enxerto-Hospedeiro
/
Imunossupressores
Tipo de estudo:
Guideline
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Am J Clin Oncol
Ano de publicação:
2000
Tipo de documento:
Article
País de afiliação:
Estados Unidos
País de publicação:
Estados Unidos