System | Adverse event | AZA N = 15 | MTX N = 16 | Outcome |
---|---|---|---|---|
CVS | Hypertension | 2 | 4 | Resolved on antihypertensives |
 | Palpitations | 2 | 0 | Resolved- no action |
 | Pedal edema | 1 | 2 | 1 -required diuretics |
Digestive | Diarrhoea | 2 | 1 | 2- resolve on study withdrawal 1- resolve no action |
 | Dyspepsia | 1 | 7 | Resolve on H2-R antagonist/PPI* |
 | Excessive weight gain** | 7 | 8 | ↓ prednisone if accompanied by other AEs |
 | Gastric ulcer | 0 | 1 | Resolved on medical management |
 | Increased appetite | 1 | 0 | No action |
Endocrine | Diabetes requiring insulin | 1 | 1 | Controlled on insulin |
 | NIDM new | 3 | 1 | Controlled on hypoglycemics & ↓ prednisone |
 | Blurred vision-lens edema | 0 | 1 | Resolve on ↓ prednisone |
 | Moon face | 1 | 1 | Improved on ↓ prednisone |
 | Mouth ulcers | 0 | 2 | Resolve- no dose change |
Nervous | Anxiety, insomnia, moody | 5 | 0 | Controlled on amitryptaline & ↓ prednisone |
 | Cramps in legs | 3 | 2 | Controlled on K+ supplements |
 | Dysesthesiae in feet | 0 | 1 | Improved on ↓ prednisone |
 | Fatigue/asthenia | 0 | 1 | No action |
 | Headache | 0 | 1 | Resolve -no action |
 | Hearing loss | 1 | 0 | Resolve on study withdrawal |
 | Tremors | 0 | 2 | Intermittent; no action |
Respiratory | Pneumonia | 1 | 0 | Intravenous antibiotics |
Skeletal | Arthralgia | 1 | 2 | Intermittent; no action |
Skin | Acne/erythema/hirsutism | 1 | 1 | Resolve on prednisone reduction/withdrawal |
 | Fungal infection | 1 | 2 | Resolve on topical antifungals & ↓ prednisone |
 | Hidradenitis suppurativa | 1 | 0 | Oral antibiotics with incision drainage |