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  • Title: Methotrexate osteopathy in rheumatic disease.
    Author: Preston SJ, Diamond T, Scott A, Laurent MR.
    Journal: Ann Rheum Dis; 1993 Aug; 52(8):582-5. PubMed ID: 8215620.
    Abstract:
    OBJECTIVE: To determine whether two adults with stress fractures receiving low weekly doses of methotrexate had methotrexate osteopathy. CASE REPORTS: Two adult patients developed features consistent with methotrexate osteopathy while receiving low weekly doses of methotrexate. METHODS: Iliac crest biopsy samples were taken and bone histomorphometry carried out. RESULTS: Symptoms resolved when the methotrexate was discontinued. Bone histology showed changes consistent with osteoblast inhibition by methotrexate. CONCLUSIONS: When given in low doses for prolonged periods, methotrexate may have adverse effects on bone, particularly in post-menopausal women.
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