Journal of

Rheumatic Diseases and TreatmentISSN: 2469-5726

Early Online

 Open Access DOI:10.23937/2469-5726/1510070

Severe MTX Toxicity in Rheumatic Diseases - Analysis of 22 Cases

Bergner R, Wadsack D and Loffler C

Article Type: REVIEW ARTICLE | First Published: Febrayry 25, 2019

Severe MTX (methotrexate) toxicity due to low dose MTX used in rheumatic diseases is rare but linked with a high mortality ranging from 13 to 44%. We analyzed 22 cases with a minimum toxicity of CTC (common toxicity criteria) grade 2, that were admitted to our hospital. We retrospectively analyzed epidemiological data, the weekly MTX dosage, renal function before and at the beginning of the adverse event, co-medication with influence on MTX toxicity or on renal function and potential other co-fa...

 Open Access DOI:10.23937/2469-5726/1510069

Muscle Ultrasound in Inflammatory Myopathies: A Critical Review

Kristofoor E Leeuwenberg and Jemima Albayda

Article Type: Review Article | First Published: February 11, 2019

Muscle ultrasonography is an upcoming tool in the evaluation of neuromuscular disorders. It is easily applicable in multiple clinical settings, has no contraindications, and provides a cost-effective alternative to other imaging modalities such as MRI. However, a known disadvantage of ultrasound is its dependence on examiner expertise. Furthermore, the assessment of muscle quality is done mainly through an assessment of muscle echo intensity, which is affected by machine/system settings, hamperi...

Volume 5
Issue 1