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A practical approach to using methotrexate
Dermatology in Practice, 10/09/09
Methotrexate is an antimetabolite that was first introduced as an anticancer drug. Due to its anti–inflammatory properties, it is now used – in much lower doses – for the treatment of joint, bowel and skin conditions. In dermatology, low–dose methotrexate is most commonly used to treat psoriasis that has not responded to topical treatments or phototherapy. It is also useful as a steroid–sparing agent in bullous pemphigoid, pemphigus, sarcoidosis, dermatomyositis and the vasculitides. Recently, it has been used in morphoea and in mycosis fungoides.
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