Methotrexate is used to treat autoimmune and oncologic diseases in children with Down syndrome. However, increased methotrexate-related toxicity is reported in this population. We evaluated differences in the concentrations and distribution of erythrocyte folates in children with Down syndrome as a potential basis for this enhanced toxicity.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247922PMC
http://dx.doi.org/10.1016/j.jpeds.2020.01.032DOI Listing

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