Abstract
A 68-year-old man with a 3-year history of rheumatoid arthritis (RA) developed gynecomastia 3 months after beginning oral low-dose methotrexate (MTX) therapy. Four months after MTX therapy was discontinued, the gynecomastia symptoms improved. Only eight cases of gynecomastia resulting from low-dose MTX administration have been reported worldwide, and no cases have previously been reported in Japan. Although it occurs infrequently, gynecomastia resulting from low-dose MTX therapy should be considered in male patients with RA.
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DW Del Paine JC Leek C Jakle DL Robbins (1983) ArticleTitleGynecomastia-associated with low dose methotrexate therapy (letter) Arthritis Rheum 26 691–2 Occurrence Handle6847735 Occurrence Handle10.1002/art.1780260523 Occurrence Handle1:STN:280:BiyB3cvis1M%3D
E Thomas JL Leroux F Blotman (1994) ArticleTitleGynecomastia in patients with rheumatoid arthritis treated with methotrexate (letter) J Rheumatol 21 1777–8 Occurrence Handle7799373 Occurrence Handle1:STN:280:ByqD1Mjjt1Y%3D
DR Finger GL Klippe (1995) ArticleTitleGynecomastia following low dose methotrexate therapy for rheumatoid arthritis (letter) J Rheumatol 22 796–7 Occurrence Handle7791195 Occurrence Handle1:STN:280:ByqA3M7ivFU%3D
MA Aguirre A Velez M Romero E Collantes (2002) ArticleTitleGynecomastia and Sexual Impotence Associated with Methotrexate Treatment J Rheumatol 29 1793–4 Occurrence Handle12180746
D Pandhi R Gupta A Singal (2005) ArticleTitleGynaecomastia with oligospermia: an unusual complication of low-dose methotrexate for pustular psoriasis (letter) Clin Exp Dermatol 31 138–40 Occurrence Handle10.1111/j.1365-2230.2005.01925.x
GD Baunstein N Engl (J Med 1993) ArticleTitleGynecomastia N Engl J Med 7 IssueID328 490–5 Occurrence Handle10.1056/NEJM199302183280708
T Satoh S Itoh T Seki S Itoh N Nomura I Yoshizawa et al. (2002) ArticleTitleOn the inhibitory action of 29 drugs having side effect gynecomastia on estrogen production J Steroid Biomol Biol 82 209–16 Occurrence Handle10.1016/S0960-0760(02)00154-1 Occurrence Handle1:CAS:528:DC%2BD38XptlCkur8%3D
AR Glass J Bereberg (1979) ArticleTitleGynaecomastia after chemotherapy for lymphoma Arch Intern Med 139 1048–9 Occurrence Handle582502 Occurrence Handle10.1001/archinte.139.9.1048 Occurrence Handle1:STN:280:CSaB2Mvos1A%3D
M Koehler R Waldherr R Ludwig U Heinrich WE Brandeis (1986) ArticleTitleEffects of methotrexate on rabbit testes. Part 1: Morphological changes Pediatr Hematol Oncol 3 325–34 Occurrence Handle3153246 Occurrence Handle10.3109/08880018609031234 Occurrence Handle1:CAS:528:DyaL2sXitVOhurY%3D
M Koehler U Heinrich R Ludwig R Waldherr WE Brandeis (1986) ArticleTitleEffects of methotrexate on rabbit testes. Part 2: hormonal changes Pediatr Hematol Oncol 3 335–41 Occurrence Handle3155255 Occurrence Handle10.3109/08880018609031235 Occurrence Handle1:CAS:528:DyaL2sXitVOhurc%3D
RC Shamberger SA Rosenberg CA Siepp RJ Sherins (1981) ArticleTitleEffects of high-dose methotrexate and vincristine on ovarian and testicular functions in patients undergoing postoperative adjuvant treatment of osteosarcoma Cancer Treat Rep 65 IssueID9–10 739–46 Occurrence Handle6791818 Occurrence Handle1:CAS:528:DyaL3MXltVyrtro%3D
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Abe, K., Mitsuka, T., Kanamori, S. et al. Gynecomastia associated with low-dose methotrexate therapy for rheumatoid arthritis. Mod Rheumatol 17, 511–513 (2007). https://doi.org/10.1007/s10165-007-0619-2
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DOI: https://doi.org/10.1007/s10165-007-0619-2