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To the Editor.—
This letter is written in the hope of stimulating an exchange of ideas on a controversial subject pertinent to our present practice.The American dermatologist is presented with a moral and ethical dilemma in deciding whether or not to use methotrexate in extensive or complicated psoriasis. We are all trained to do what we must in order to make life livable for our patients. At times, calculated risks must be taken but we accept these, as does the informed patient after due consideration.In the severe or complicated psoriatic (I am not considering the problem of the inconvenienced moderate or mild psoriatic) antimetabolites present a recognized method of treatment which will produce relief in a reasonable number of patients with only moderate risk if properly administered.Yet we have no recognition by the Federal Drug Administration that a drug such as methotrexate exists as acceptable treatment for
Burns RE. Drugs and Their Use. Arch Dermatol. 1972;105(1):127. doi:10.1001/archderm.1972.01620040087025