Hakim N S, Kobienia B, Benedetti E, Bloomer J, Payne W D
Department of Surgery, University of Minnesota, Minneapolis, USA.
Int Surg. 1998 Jul-Sep;83(3):224-5.
MTX-induced hepatic injury and liver enzyme elevations have been demonstrated after treatment of leukemia, gestational disease and during treatment of psoriasis and rheumatoid arthritis. A 40-year-old man with a long standing history of rheumatoid arthritis was treated with MTX over a 6 month period and developed an overwhelming hepatic necrosis. He was successfully transplanted.