Methotrexate and mucositis: A merry-go-round for oncologists

High-dose methotrexate is the backbone of various regimens for treating lymphoid malignancies. Mucositis is a well-known, dose-related side effect of methotrexate. Prophylactic measures such as folinic acid rescue are useful but do not prevent mucositis in all the cases. Once severe mucositis (WHO G...

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Main Authors: Kundan Mishra, Aditya Jandial, Anil Kumar, Deepesh Lad, Gaurav Prakash, Alka Khadwal, Pankaj Malhotra
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2019-01-01
Series:Indian Journal of Medical and Paediatric Oncology
Subjects:
Online Access:http://www.ijmpo.org/article.asp?issn=0971-5851;year=2019;volume=40;issue=1;spage=150;epage=152;aulast=Mishra
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author Kundan Mishra
Aditya Jandial
Anil Kumar
Deepesh Lad
Gaurav Prakash
Alka Khadwal
Pankaj Malhotra
author_facet Kundan Mishra
Aditya Jandial
Anil Kumar
Deepesh Lad
Gaurav Prakash
Alka Khadwal
Pankaj Malhotra
author_sort Kundan Mishra
collection DOAJ
description High-dose methotrexate is the backbone of various regimens for treating lymphoid malignancies. Mucositis is a well-known, dose-related side effect of methotrexate. Prophylactic measures such as folinic acid rescue are useful but do not prevent mucositis in all the cases. Once severe mucositis (WHO Grade IV) sets in, mortality is very high. The index case highlights the natural course of methotrexate-induced mucositis and the need for swift and preemptive intervention.
format Article
id doaj-art-42f1f22970804b71a15c7bb0e856b435
institution DOAJ
issn 0971-5851
0975-2129
language English
publishDate 2019-01-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Medical and Paediatric Oncology
spelling doaj-art-42f1f22970804b71a15c7bb0e856b4352025-08-20T03:06:37ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Medical and Paediatric Oncology0971-58510975-21292019-01-0140115015210.4103/ijmpo.ijmpo_113_18Methotrexate and mucositis: A merry-go-round for oncologistsKundan MishraAditya JandialAnil KumarDeepesh LadGaurav PrakashAlka KhadwalPankaj MalhotraHigh-dose methotrexate is the backbone of various regimens for treating lymphoid malignancies. Mucositis is a well-known, dose-related side effect of methotrexate. Prophylactic measures such as folinic acid rescue are useful but do not prevent mucositis in all the cases. Once severe mucositis (WHO Grade IV) sets in, mortality is very high. The index case highlights the natural course of methotrexate-induced mucositis and the need for swift and preemptive intervention.http://www.ijmpo.org/article.asp?issn=0971-5851;year=2019;volume=40;issue=1;spage=150;epage=152;aulast=MishraLymphoid malignancymethotrexatemucositis
spellingShingle Kundan Mishra
Aditya Jandial
Anil Kumar
Deepesh Lad
Gaurav Prakash
Alka Khadwal
Pankaj Malhotra
Methotrexate and mucositis: A merry-go-round for oncologists
Indian Journal of Medical and Paediatric Oncology
Lymphoid malignancy
methotrexate
mucositis
title Methotrexate and mucositis: A merry-go-round for oncologists
title_full Methotrexate and mucositis: A merry-go-round for oncologists
title_fullStr Methotrexate and mucositis: A merry-go-round for oncologists
title_full_unstemmed Methotrexate and mucositis: A merry-go-round for oncologists
title_short Methotrexate and mucositis: A merry-go-round for oncologists
title_sort methotrexate and mucositis a merry go round for oncologists
topic Lymphoid malignancy
methotrexate
mucositis
url http://www.ijmpo.org/article.asp?issn=0971-5851;year=2019;volume=40;issue=1;spage=150;epage=152;aulast=Mishra
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AT deepeshlad methotrexateandmucositisamerrygoroundforoncologists
AT gauravprakash methotrexateandmucositisamerrygoroundforoncologists
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