How can we optimize the use of methotrexate to treat pediatric patients with inflammatory skin diseases?

INTRODUCTION: Methotrexate (MTX) is a folic acid antagonist used in clinical practice in oncology and rheumatology, as well as in the treatment of inflammatory skin conditions in children. The low-doses of MTX are commonly used in children for the treatment of many inflammatory and autoimmune conditions, including inflammatory skin diseases, due to its anti-inflammatory and immunomodulatory effects.

AREAS COVERED: This review discusses the possibilities for optimizing the use of methotrexate in the treatment of pediatric patients with inflammatory skin diseases. A thorough search through PubMed and Embase databases was performed to identify relevant literature.

EXPERT OPINION: Clinical observations confirm the high efficacy and safety of low-dose MTX in children with inflammatory skin diseases. Unfortunately, to date there are few studies providing guidelines on the optimal dosage of MTX in children with inflammatory skin diseases; routes of administration; principles of monitoring; and the safety of long-term use of this medication in children. There is still a need for specific recommendations on the safest and most effective dosing and monitoring regimen for children treated with methotrexate for inflammatory skin diseases.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:20

Enthalten in:

Expert opinion on drug metabolism & toxicology - 20(2024), 3 vom: 01. März, Seite 111-118

Sprache:

Englisch

Beteiligte Personen:

Kiełbowski, Kajetan [VerfasserIn]
Bakinowska, Estera [VerfasserIn]
Pawlik, Andrzej [VerfasserIn]

Links:

Volltext

Themen:

Folic Acid Antagonists
Inflammation
Journal Article
Methotrexate
Review
Skin
Therapy
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Anmerkungen:

Date Completed 26.03.2024

Date Revised 27.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/17425255.2024.2326245

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369197526