Publication:
Image Gallery: Complete remission of aggressive desmoid-type fibromatosis after low-dose methotrexate for 2 weeks in a child with psoriasis.

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Date

2016-10-01

Authors

Simonsen, S
Vera-Casaño, A
Gomez-Moyano, E
Sanz-Trelles, A
Bravo-Bravo, C
Martinez-Pilar, L

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Oxford University Press
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Abstract

A 13‐year‐old girl with psoriasis presented with a 13 × 8‐cm subcutaneous mass in her shoulder (a, b). Strangely enough, she had had a radiologically similar mass in her leg, but it had suddenly vanished after starting treatment with low‐dose methotrexate for her psoriasis. A magnetic resonance imaging scan and biopsy of the current tumour were consistent with desmoid‐type fibromatosis (c, f). As surgery was rejected, we prescribed methotrexate 15 mg weekly. After 2 weeks, remission was complete and treatment suspended (d, e). Two years later there has been no recurrence. Desmoid‐type fibromatosis is a benign but infiltrative and recurrent tumour.1 Low‐dose methotrexate has been used successfully in some studies

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MeSH Terms

Adolescent
Dermatologic Agents
Female
Fibromatosis, Aggressive
Humans
Methotrexate
Psoriasis
Remission Induction

DeCS Terms

Fibroma
Psoriasis
Recurrencia
Cirugía General
Imagen por Resonancia Magnética

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Keywords

Psoriasis, Magnetic Resonance Imaging, Recurrence, Laparoscopy

Citation

Simonsen S, Vera Casaño A, Gómez Moyano E, Sanz Trelles A, Bravo Bravo C, Martínez Pilar L. Image Gallery: Complete remission of aggressive desmoid-type fibromatosis after low-dose methotrexate for 2 weeks in a child with psoriasis. Br J Dermatol. 2016 Oct;175(4):e122