Methotrexate-induced papular eruption

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Methotrexate-induced papular eruption appears in patients being treated with methotrexate, such as those with rheumatic disease, presenting with erythematous indurated papules, usually located on the proximal extremities.<ref name="Andrews">James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. Page 181. ISBN 0-7216-2921-0.</ref>

It has been suggested that it may represent a cutaneous small-vessel vasculitis.<ref>,

 Methotrexate-induced papular eruption following treatment of psoriasis, 
 Ann Pharmacother, 
 
 Vol. 42(Issue: 1),
 pp. 138–41,
 DOI: 10.1345/aph.1K271,
 PMID: 18094347,</ref>

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