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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">rsp</journal-id><journal-title-group><journal-title xml:lang="ru">Научно-практическая ревматология</journal-title><trans-title-group xml:lang="en"><trans-title>Rheumatology Science and Practice</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1995-4484</issn><issn pub-type="epub">1995-4492</issn><publisher><publisher-name>IMA-PRESS, LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/1995-4484-2016-478-481</article-id><article-id custom-type="elpub" pub-id-type="custom">rsp-2279</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКОЕ НАБЛЮДЕНИЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL OBSERVATIONS</subject></subj-group></article-categories><title-group><article-title>Реакция со стороны кожных покровов и придатков кожи у больных ревматоидным артритом в период подкожного применения метотрексата: описание трех случаев</article-title><trans-title-group xml:lang="en"><trans-title>The reaction of the skin and its appendages in rheumatoid arthritis patients using subcutaneous methotrexate: A description of three cases</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Муравьев</surname><given-names>Ю. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Muravyev</surname><given-names>Yu. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522 Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>34A, Kashirskoe Shosse, Moscow 115522</p></bio><email xlink:type="simple">myrawyw@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гриднева</surname><given-names>Г. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Gridneva</surname><given-names>G. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522 Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>34A, Kashirskoe Shosse, Moscow 115522</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Раденска-Лоповок</surname><given-names>С. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Radenska-Lopovok</surname><given-names>S. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522 Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>34A, Kashirskoe Shosse, Moscow 115522</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Харитонова</surname><given-names>Н. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Kharitonova</surname><given-names>N. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>107078 Москва, Каланчевская улица, 31</p></bio><bio xml:lang="en"><p>31, Kalanchevskaya Street, Moscow 107078</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ Научно- исследовательский институт ревматологии им. В.А. Насоновой, Москва</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Nasonova Research Institute of Rheumatology, Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ «Федеральный медицинский центр» Росимущества, Москва</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Medical Center, Russian Federal Property Management Agency, Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>20</day><month>10</month><year>2016</year></pub-date><volume>54</volume><issue>4</issue><fpage>478</fpage><lpage>481</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Муравьев Ю.В., Гриднева Г.И., Раденска-Лоповок С.Г., Харитонова Н.И., 2016</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="ru">Муравьев Ю.В., Гриднева Г.И., Раденска-Лоповок С.Г., Харитонова Н.И.</copyright-holder><copyright-holder xml:lang="en">Muravyev Y.V., Gridneva G.I., Radenska-Lopovok S.G., Kharitonova N.I.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://rsp.mediar-press.net/rsp/article/view/2279">https://rsp.mediar-press.net/rsp/article/view/2279</self-uri><abstract><p>Сообщается о развитии неблагоприятных реакций со стороны кожных покровов и придатков кожи у больных ревматоидным артритом в период подкожного применения метотрексата, служащих проявлением его токсичности. Обсуждаются возможные механизмы их возникновения, хотя как клиническая картина, так и гистологические изменения неспецифичны. </p></abstract><trans-abstract xml:lang="en"><p>The paper reports the development of the adverse events of the skin and its appendages due to subcutaneous methotrexate, which serve as a manifestation of its toxicity in patients with rheumatoid arthritis. It discusses the possible mechanisms of their occurrence, although both clinical presentations and histological changes are not specific. </p></trans-abstract><kwd-group xml:lang="ru"><kwd>метотрексат</kwd><kwd>подкожное применение</kwd><kwd>ревматоидный артрит</kwd><kwd>неблагоприятные реакции</kwd></kwd-group><kwd-group xml:lang="en"><kwd>methotrexate</kwd><kwd>subcutaneous use</kwd><kwd>rheumatoid arthritis</kwd><kwd>adverse events</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Schmiegelow K. Advances in individual prediction of methotrexate toxicity: a review. Br J Haematol. 2009;146(5):489-503. doi: 10.1111/j.1365-2141.2009.07765.x</mixed-citation><mixed-citation xml:lang="en">Schmiegelow K. Advances in individual prediction of methotrexate toxicity: a review. Br J Haematol. 2009;146(5):489-503. doi: 10.1111/j.1365-2141.2009.07765.x</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Frei E, Blum RH, Pitman SW, et al. High-dose methotrexate with leucovorin rescue. Rationale and spectrum of antitumor activity. Am J Med. 1980;68(3):370-6. doi: 10.1016/0002- 9343(80)90105-9</mixed-citation><mixed-citation xml:lang="en">Frei E, Blum RH, Pitman SW, et al. High-dose methotrexate with leucovorin rescue. Rationale and spectrum of antitumor activity. Am J Med. 1980;68(3):370-6. doi: 10.1016/0002- 9343(80)90105-9</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Del Pozo J, Martinez W, Garcia-Silva J, et al. Cutaneous ulceration as a sign of methotrexate toxicity. Eur J Dermatol. 2001;11(5):450-2.</mixed-citation><mixed-citation xml:lang="en">Del Pozo J, Martinez W, Garcia-Silva J, et al. Cutaneous ulceration as a sign of methotrexate toxicity. Eur J Dermatol. 2001;11(5):450-2.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Pearce HP, Wilson BB. Erosion of psoriatic plaques: an early sign of methotrexate toxicity. J Am Acad Dermatol. 1996;35 (5 Pt 2):835-8. doi: 10.1016/S0190-9622(96)90097-3</mixed-citation><mixed-citation xml:lang="en">Pearce HP, Wilson BB. Erosion of psoriatic plaques: an early sign of methotrexate toxicity. J Am Acad Dermatol. 1996;35 (5 Pt 2):835-8. doi: 10.1016/S0190-9622(96)90097-3</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Yelamos O, Catala A, Vilarrasa E, et al. Acute severe methotrexate toxicity in patients with psoriasis: a case series and discussion. Dermatology. 2014;229(4):306-9. doi: 10.1159/000366501</mixed-citation><mixed-citation xml:lang="en">Yelamos O, Catala A, Vilarrasa E, et al. Acute severe methotrexate toxicity in patients with psoriasis: a case series and discussion. Dermatology. 2014;229(4):306-9. doi: 10.1159/000366501</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Jindal N, Arora K, Jindal P, et al. Inflamed psoriatic plaques: drug toxicity or disease exacerbation? Ind J Pharmacol. 2013;45(4):410-1. doi: 10.4103/0253-7613.115001</mixed-citation><mixed-citation xml:lang="en">Jindal N, Arora K, Jindal P, et al. Inflamed psoriatic plaques: drug toxicity or disease exacerbation? Ind J Pharmacol. 2013;45(4):410-1. doi: 10.4103/0253-7613.115001</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Sanz-Sanchez T, Romero-Mate A, Tardхo JC, et al. Acantholytic dermatosis in psoriaticpatient with methotrexate toxicity. J Eur Acad Dermatol Venereol. 2008;22(10):1236-7. doi: 10.1111/j.1468- 3083.2007.02551.x</mixed-citation><mixed-citation xml:lang="en">Sanz-Sanchez T, Romero-Mate A, Tardхo JC, et al. Acantholytic dermatosis in psoriaticpatient with methotrexate toxicity. J Eur Acad Dermatol Venereol. 2008;22(10):1236-7. doi: 10.1111/j.1468- 3083.2007.02551.x</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Gaigl Z, Seitz CS, Brocker EB, Trautmann A. Methotrexateinduced toxic epidermal necrolysis-like skin toxicity. Eur J Dermatol. 2007;17(2):168-9.</mixed-citation><mixed-citation xml:lang="en">Gaigl Z, Seitz CS, Brocker EB, Trautmann A. Methotrexateinduced toxic epidermal necrolysis-like skin toxicity. Eur J Dermatol. 2007;17(2):168-9.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Hoekstra M, Haagsma C, Neef C, et al. Bioavailability of higher dose methotrexate comparing oral and subcutaneous administration in patients with rheumatoid arthritis. J Rheumatol. 2004;31(4):645-8.</mixed-citation><mixed-citation xml:lang="en">Hoekstra M, Haagsma C, Neef C, et al. Bioavailability of higher dose methotrexate comparing oral and subcutaneous administration in patients with rheumatoid arthritis. J Rheumatol. 2004;31(4):645-8.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Braun J, Kä stner P, Flaxenberg P, et al.; MC-MTX.6/RH Study Group. Comparison of the clinical efficacy and safety of subcutaneous versus oral administration of methotrexate in patients with active rheumatoid arthritis: results of a six-month, multicenter, randomized, double-blind, controlled, phase IV trial. Arthritis Rheum. 2008;58(1):73-81. doi: 10.1002/art.23144</mixed-citation><mixed-citation xml:lang="en">Braun J, Kä stner P, Flaxenberg P, et al.; MC-MTX.6/RH Study Group. Comparison of the clinical efficacy and safety of subcutaneous versus oral administration of methotrexate in patients with active rheumatoid arthritis: results of a six-month, multicenter, randomized, double-blind, controlled, phase IV trial. Arthritis Rheum. 2008;58(1):73-81. doi: 10.1002/art.23144</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Каратеев ДЕ, Лучихина ЕЛ, Муравьев ЮВ и др. Первое российское стратегическое исследование фармакотерапии ревматоидного артрита (РЕМАРКА). Научно-практическая ревматология. 2013;51(2):117-25 [Karateev DE, Luchikhina EL, Muravyev YuV, et al. The first Russian strategic study of pharmacotherapy for rheumatoid arthritis (REMARCA). Nauchno-Prakticheskaya Revmatologiya = Rheumatology Science and Practice. 2013;51(2):117-25 (In Russ.)]. doi: 10.14412/1995-4484-2013-637</mixed-citation><mixed-citation xml:lang="en">Каратеев ДЕ, Лучихина ЕЛ, Муравьев ЮВ и др. Первое российское стратегическое исследование фармакотерапии ревматоидного артрита (РЕМАРКА). Научно-практическая ревматология. 2013;51(2):117-25 [Karateev DE, Luchikhina EL, Muravyev YuV, et al. The first Russian strategic study of pharmacotherapy for rheumatoid arthritis (REMARCA). Nauchno-Prakticheskaya Revmatologiya = Rheumatology Science and Practice. 2013;51(2):117-25 (In Russ.)]. doi: 10.14412/1995-4484-2013-637</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Delyon J, Ortonne N, Benayoun E, et al. Low-dose methotrexateinduced skin toxicity: Keratinocyte dystrophy as a histologic marker. J Am Acad Dermatol. 2015;73(3):484-90. doi: 10.1016/j.jaad.2015.06.015</mixed-citation><mixed-citation xml:lang="en">Delyon J, Ortonne N, Benayoun E, et al. Low-dose methotrexateinduced skin toxicity: Keratinocyte dystrophy as a histologic marker. J Am Acad Dermatol. 2015;73(3):484-90. doi: 10.1016/j.jaad.2015.06.015</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Ulrich CM, Yasui Y, Storb R, et al. Pharmacogenetics of methotrexate: toxicity among marrow transplantation patients varies with the methylenetetrahydrofolate reductase C677T polymorphism. Blood. 2001;98:231-4. doi: 10.1182/blood.V98.1.231</mixed-citation><mixed-citation xml:lang="en">Ulrich CM, Yasui Y, Storb R, et al. Pharmacogenetics of methotrexate: toxicity among marrow transplantation patients varies with the methylenetetrahydrofolate reductase C677T polymorphism. Blood. 2001;98:231-4. doi: 10.1182/blood.V98.1.231</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Toffoli G, Veronesi A, Boiocchi M, et al. MTHFR gene polymorphism and severe toxicity during adjuvant treatment of early breast cancer with cyclophosphamide,methotrexate and luorouracil (CMF). Ann Oncol. 2000;11:373-4. doi: 10.1023/A:1008337900349</mixed-citation><mixed-citation xml:lang="en">Toffoli G, Veronesi A, Boiocchi M, et al. MTHFR gene polymorphism and severe toxicity during adjuvant treatment of early breast cancer with cyclophosphamide,methotrexate and luorouracil (CMF). Ann Oncol. 2000;11:373-4. doi: 10.1023/A:1008337900349</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Choe JY, Lee H, Jung HY, et al. Methylenetetrahydrofolate reductase polymorphisms, C677T and A1298C are associated with methotrexate-related toxicities in Korean patients with rheumatoid arthritis. Rheumatol Int. 2012;32:1837-42. doi: 10.1007/s00296-011-1989-5</mixed-citation><mixed-citation xml:lang="en">Choe JY, Lee H, Jung HY, et al. Methylenetetrahydrofolate reductase polymorphisms, C677T and A1298C are associated with methotrexate-related toxicities in Korean patients with rheumatoid arthritis. Rheumatol Int. 2012;32:1837-42. doi: 10.1007/s00296-011-1989-5</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
