Article:
Methotrexate in the treatment of recalcitrant nodular vasculitis

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorParajuli, Sudip
dc.contributor.authorDhital, Kamal Raj
dc.creator.affiliationDepartment of Dermatology and Venerology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
dc.creator.affiliationDepartment of Dermatology and Venerology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
dc.date.accessioned2026-09-29T09:33:39Z
dc.date.available2026-09-29T09:33:39Z
dc.date.issued2015
dc.description.abstractAbstract We report a case of recalcitrant nodular vasculitis in a 23 years old male who was treated successfully with methotrexate. He presented to our Dermatology out Patient Department, Tribhuvan university teaching hospital with complaints of recurrent painful discharging ulcer over bilateral calf and lower legs of three years duration. The diagnosis of nodular vasculitis was made on the basis of the clinical presentation and the histopathological findings. The patient was treated with antituberculosis treatment with initial good response; however the lesions persisted later on, despite completing the course of ATT. The patient did not respond to treatment with systemic corticosteroids also. On starting methotrexate, the lesion started healing within a period of two weeks and there was significant improvement in subsequent one month. This case report highlights the efficacy of methotrexate in the treatment of recalcitrant nodular vasculitis. Keywords: ATT; Methotrexate; Nodular vasculitis.
dc.identifier.doihttps://doi.org/10.31729/jnma.2751
dc.identifier.urihttps://hdl.handle.net/20.500.14572/7904
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectATT
dc.subjectMethotrexate
dc.subjectNodular vasculitis
dc.titleMethotrexate in the treatment of recalcitrant nodular vasculitis
dc.typeArticle
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage300
oaire.citation.startPage298
relation.isJournalIssueOfPublication2a1229dd-664e-4292-aac7-5d4fb3f950ee
relation.isJournalIssueOfPublication.latestForDiscovery2a1229dd-664e-4292-aac7-5d4fb3f950ee
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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