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- Ogawa Hideo
- Department of Otolaryngology, Matsuyama Red Cross Hospital
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- Aritomo Hiroshi
- Department of Otolaryngology, Matsuyama Red Cross Hospital
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- Shinomori Yusuke
- Department of Otolaryngology, Matsuyama Red Cross Hospital
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- Takagi Daiki
- Department of Otolaryngology, Matsuyama Red Cross Hospital
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Methotrexate-associated lymphoproliferative disorders (MTX-LPD) comprise lymphoid proliferations in subjects with autoimmune disease, especially rheumatoid arthritis (RA) treated with methotrexate (MTX).<br>These disorders are recognized as a distinct disease entity in the 2001 World Health Organization classification. We herein report on our experience with eight patients suffering from RA as an underlying disease who developed MTX-LPD of the head and neck region during the 4-year period from May 2008 to January 2012. Among these cases, one typical patient in whom discontinuation of MTX resulted in remission is described in detail. MTX 8 mg weekly was administered to a 50-year-old woman with RA. She suffered from a sore throat for two months and right tonsil swelling that eventually developed into an ulcer.<br>Based on the histopathological findings from a tonsil biopsy, she was diagnosed as having diffuse large B-cell lymphoma. Clinically, she was diagnosed as having MTX-LPD, and MTX was discontinued. The oropharyngeal tumor gradually shrank, and a month after MTX withdrawal, the lesion had disappeared. Her clinical course continues to be good with no sign of recurrence.<br>MTX-LPD is expected to increase as MTX is used increasingly to treat RA. We should therefore take MTX-LPD in consideration when examining subjects treated with MTX.
収録刊行物
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- 耳鼻咽喉科臨床 補冊
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耳鼻咽喉科臨床 補冊 141 (0), 120-120, 2015
耳鼻咽喉科臨床学会
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詳細情報 詳細情報について
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- CRID
- 1390001204325496704
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- NII論文ID
- 130005077975
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- ISSN
- 21851557
- 09121870
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可