Methotrexate (MTX) is an antifolic drug used in the treatment of immune-mediated and neoplastic diseases. Initiation or dosage changes in MTX therapy can cause mucositis and bone marrow suppression. Skin lesions due to acute MTX toxicity are rare. but they serve as a herald for later-onset pancytopenia. https://jalyttlers.shop/product-category/round-placemats/