Preview

Medical alphabet

Advanced search

Gynecomastia associated with methotrexate therapy for psoriatic arthritis

https://doi.org/10.33667/2078-5631-2022-29-53-56

Abstract

Methotrexate is widely used for treatment rheumatic diseases, including psoriatic arthritis. Adverse reactions could develop during methotrexate therapy, the most common of which are skin lesions, liver dysfunction, diarrhea, nausea, etc. Gynecomastia is a rare complication of low-dose methotrexate therapy. The mechanism of its development is not fully understood. We present a case report of the development of gynecomastia in a patient with psoriatic arthritis during treatment with methotrexate.

About the Authors

M. A. Borisova
A.S. Loginov Moscow Clinical Scientific Center
Russian Federation

Borisova Maria A. - PhD Med, senior scientist.

Moscow



G. V. Lukina
A.S. Loginov Moscow Clinical Scientific Center; V.A. Nasonova Research Institute of Rheumatology
Russian Federation

Lukina Galina V. - DM Sci (habil.), professor, head of Moscow City Rheumatology Centre A.S. Loginov MCSC, leading scientist at Laboratory of Evolution of Rheumatoid Arthritis.

Moscow



References

1. Nasonov E. L., Nasonova V. A., editors. Chapter 7. Pharmacotherapy. In book: Rheumatology: A national guide. M. GEOTAR-Media, 2010. P. 207–208.

2. Nasonov E. L., editor. Chapter 3. Psoriatic arthritis. In book: Russian clinical guidelines: Rheumatology. M. GEOTAR-Media, 2020. P. 87

3. Wilsdon TD, Whittle SL, Thynne TR, Mangoni AA. Methotrexate for psoriatic arthritis. Cochrane Database Syst Rev. 2019 Jan 18; 1 (1): CD 012722. PMID: 30656673; PMCID: PMC 6353064. DOI: 10.1002/14651858.CD012722.pub2

4. Korotaeva T. V., Nasonov E. L., Molochkov V. A. Use of methotrexate in the treatment of psoriasis and psoriatic arthritis. Modern Rheumatology Journal. 2013; 7 (2): 45–52. (In Russ.) https://doi.org/10.14412/1996–7012–2013–2381

5. Nasonov E. L. Methotrexate in rheumatoid arthritis – 2015: New facts and ideas. Rheumatology Science and Practice. 2015; 53 (4): 421–433. (In Russ.) https://doi.org/10.14412/1995–4484–2015–421–433

6. Gridneva G. I., Muravyev Yu.V., Luchikhina E. L., Demidova N. V., Karateev D. E. Issues of optimization of methotrexate therapy in patients with rheumatoid arthritis. Rheumatology Science and Practice. 2017; 55 (1): 41–47. (In Russ.) https://doi.org/10.14412/1995–4484–2017–41–47

7. Aguirre MA, Vélez A, Romero M, Collantes E. Gynecomastia and sexual impotence associated with methotrexate treatment. J Rheumatol. 2002 Aug; 29 (8): 1793–4. PMID: 12180746.

8. Fukushi J, Nakashima Y, Iwamoto Y. Gynecomastia associated with low-dose methotrexate therapy for rheumatoid arthritis ameliorated by folate supplement. Rheumatol Int. 2010 Aug; 30 (10): 1371–2. DOI: 10.1007/s00296–009–1062–9. Epub 2009 Jul 12. PMID: 19597731.

9. Abe K, Mitsuka T, Kanamori S, Yamashita K, Yamaoka A. Gynecomastia associated with low-dose methotrexate therapy for rheumatoid arthritis. Mod Rheumatol. 2007; 17 (6): 511–3. DOI: 10.1007/s10165–007–0619–2. Epub 2007 Dec 20. PMID: 18084706.

10. Pandhi D, Gupta R, Singal A. Gynaecomastia with oligospermia: An unusual complication of low-dose methotrexate for pustular psoriasis. Clin Exp Dermatol. 2006 Jan; 31 (1): 138–40. DOI: 10.1111/j.1365–2230.2005.01925.x. PMID: 16309512.

11. Shaikh S, Shaikh S Gynecomastia in a Rheumatoid Arthritis patient: A rare side effect of Methotrexate therapy. MIR Preprints. 03/07/2016: 6311.

12. Schaefer FK, Fürst M, Schaefer PJ. Gynäkomastie unter Methotrexat-Einnahme bei Churg-Strauss-Syndrom [Gynecomastia in methotrexate treatment in Churg-Strauss syndrome]. Rofo. 2012 Jan; 184 (1): 59–60 (German). DOI: 10.1055/s-0031–1281761. Epub 2011 Sep 28. PMID: 21959888.

13. Bowman JD, Kim H, Bustamante JJ. Drug-induced gynecomastia. Pharmacotherapy. 2012 Dec; 32 (12): 1123–40. DOI: 10.1002/phar.1138. Epub 2012 Nov 16. PMID: 23165798.


Review

For citations:


Borisova M.A., Lukina G.V. Gynecomastia associated with methotrexate therapy for psoriatic arthritis. Medical alphabet. 2022;(29):53-56. (In Russ.) https://doi.org/10.33667/2078-5631-2022-29-53-56

Views: 390


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)