Rheumatoid nodulosis during methotrexate therapy in a patient with rheumatoid arthritis.

Rheumatoid nodulosis during methotrexate therapy in a patient with rheumatoid arthritis.
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DOI:
10.1007/s10165-006-0522-2
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发表时间:
2006-01-01
影响因子:
2.2
通讯作者:
Kimura, Tomoastu
Kimura, Tomoastu
中科院分区:
医学3区
文献类型:
--
作者:
Matsushita, Isao;Uzuki, Miwa;Kimura, Tomoastu

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我们报告一位62岁男性类风湿性关节炎(RA)谁开发结节后甲氨蝶呤(MTX)治疗。结节上皮样细胞表达基质金属蛋白酶(MMP)-2、MMP-3、MMP-9和Ki 67。从同一患者获得的滑膜组织对MMP-3、MMP-9和Ki 67呈阴性。这项研究表明,MTX诱导的结节在MMP表达方面与滑膜组织不同,表明存在不同的病理机制和差异MTX敏感性。
We report a 62-year-old man with rheumatoid arthritis (RA) who developed nodulosis after methotrexate (MTX) treatment. The epithelioid cells of nodules were positive for matrix metalloproteinases (MMP)-2, MMP-3, MMP-9, and Ki67. The synovial tissues obtained from the same patient were negative for MMP-3, MMP-9, and Ki67. This study demonstrated that MTX-induced nodules are different from synovial tissues in terms of MMP expression, suggesting the presence of different pathologic mechanisms and differential MTX susceptibility.