[Digital ischemia related to bromocriptin].
BACKGROUND
Bromocriptin has been associated with stroke and myocardial infarction in the postpartum period. We report on the case of a patient who developed digital ischemia while receiving this drug.


METHODS
Mrs D, 28 years old presented with digital ischemia occurring five days after the introduction of bromocriptin. Magnetic resonance imaging also displayed stroke in the area of the right posterior cerebellar artery. The course was favourable after discontinuation of the drug.


CONCLUSIONS
Bromocriptin is an ergot derivative with dopaminergic agonist properties. A paradoxical vasoconstriction is rarely associated with vascular ischemic complications, including digital ischemia.
Service de médecine interne et néphrologie, centre hospitalier de Valenciennes, Valenciennes, France.
A
A
Mekinian
X
X
Kyndt
I
I
Girard-Buttaz
T
T
Quemeneur
A
A
Demon
P
P
Vanhille
D000328:Adult; D001971:Bromocriptine / Q000008:administration & dosage / Q000009:adverse effects*; D019052:Depression, Postpartum / Q000188:drug therapy; D018491:Dopamine Agonists / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D005385:Fingers / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000139:chemically induced*
D018491:Dopamine Agonists; D001971:Bromocriptine