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Volume 335:898-899 September 19, 1996 Number 12
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Methotrexate Therapy and Liver Disease

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 by Feagan, B. G.
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To the Editor: Methotrexate is effective in the treatment of a number of chronic diseases, such as Crohn's disease,1 but concern about long-term hepatotoxicity has limited its widespread use. Although elevated serum aminotransferase concentrations are often considered a reason for stopping methotrexate,1 there is little information about the nature or seriousness of the elevations and little, if any, correlation between them and liver histology. We report on a patient who had transient increases in serum aminotransferase values with unchanged liver histology while receiving methotrexate for primary sclerosing cholangitis.

A 37-year-old man was referred to our center because of jaundice and . . . [Full Text of this Article]

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