Hallux Ischemia Observed during the  Ergotamine Taking

Raja Amri; Rabie Ayari; Rami Triky; Fatma Ben Dahmane; Mohamed Ali Sbai

Research Article Open access CC BY 4.0

Hallux Ischemia Observed during the Ergotamine Taking

Raja Amri, Rabie Ayari, Rami Triky, Fatma Ben Dahmane, Mohamed Ali Sbai

Asian Journal of Research in Surgery · pp. 81–84 · Published 18 May 2020

Abstract

Arteriopathies due to drug-administration have been described. However, the data is insufficient. Ergotism is caused by ergotamine derivatives intake. It can lead to arterial spasms, causing limb claudication and even distal necrosis in some cases. We report a 42-year-old female patient with a 2-year history of ergot derivatives treatment for migraine attacks. She presented with acute ischemia of the left hallux. She did not take any concomitant medications. Blood test was normal, as well as the arterial Doppler ultrasound of the lower limb. No other cause that could explain this ischemia was present. Discontinuation of ergotamine and vasodilator treatment resolved the ischemia, without sequelae. Physicians should be aware that ergotamine may cause ischemia. Stopping ergotamine is important.

Arteriopathies ergotism hallux ischemia ergotamine derivatives vasodilator treatment

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Raja Amri, Rabie Ayari, Rami Triky, Fatma Ben Dahmane, Mohamed Ali Sbai (2020). Hallux Ischemia Observed during the Ergotamine Taking. Asian Journal of Research in Surgery , 81–84.

Affiliations

Raja Amri — Department of Plastic, Reconstructive, Burn and Hand Surgery, Mohamed Taher Al Maamouri Hospital, Nabeul, Tunisia.
Rabie Ayari — Department of Plastic, Hand Surgery and Burns, Maamouri Hospital, Nabeul, Tunisia.
Rami Triky — Department of Plastic, Hand Surgery and Burns, Maamouri Hospital, Nabeul, Tunisia.
Fatma Ben Dahmane — Department of Plastic, Reconstructive, Burn and Hand Surgery, Mohamed Taher Al Maamouri Hospital, Nabeul, Tunisia.
Mohamed Ali Sbai — Department of Plastic, Hand Surgery and Burns, Maamouri Hospital, Nabeul, Tunisia.

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