Methotrexate used as a steroid-sparing agent in non-renal chronic Henoch-Schönlein purpura

Clin Exp Rheumatol. 2003 Nov-Dec;21(6):767-9.

Abstract

Henoch-Schönlein purpura (HSP) is the most common form of systemic vasculitis in childhood and a small percentage of children develop a chronic form of the disease that often requires prolonged corticosteroid therapy. A detailed case description of a child with non-renal chronic HSP treated with methotrexate to allow for tapering of corticosteroids is presented. This represents the first report of methotrexate use in the treatment of chronic HSP.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adrenal Cortex Hormones / adverse effects*
  • Adrenal Cortex Hormones / therapeutic use
  • Child
  • Chronic Disease
  • Dose-Response Relationship, Drug
  • Drug Administration Schedule
  • Follow-Up Studies
  • Humans
  • IgA Vasculitis / diagnosis
  • IgA Vasculitis / drug therapy*
  • Injections, Subcutaneous
  • Long-Term Care
  • Male
  • Methotrexate / administration & dosage*
  • Risk Assessment
  • Severity of Illness Index
  • Treatment Outcome

Substances

  • Adrenal Cortex Hormones
  • Methotrexate