Pleuropulmonary disease due to pergolide use for restless legs syndrome

被引:45
作者
Danoff, SK
Grasso, ME
Terry, PB
Flynn, JA
机构
[1] Johns Hopkins Univ, Sch Med, Div Pulm & Crit Care Med, Baltimore, MD 21287 USA
[2] Johns Hopkins Univ, Sch Med, Dept Internal Med, Baltimore, MD 21287 USA
[3] Johns Hopkins Univ, Sch Med, Div Gen Internal Med, Baltimore, MD 21287 USA
[4] Johns Hopkins Univ, Sch Med, Div Mol & Clin Rheumatol, Program Outpatient Educ Med, Baltimore, MD 21287 USA
[5] Credit Suisse First Boston, Hlth Care Investment Banking, New York, NY USA
关键词
Parkinson's disease; pergolide; pleuropulmonary fibrosis; restless legs syndrome;
D O I
10.1378/chest.120.1.313
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Pergolide is an ergot-derived dopamine agonist used in Parkinson's disease and, increasingly, in restless legs syndrome. We report a patient with a 2.5-year history of weight loss, pleuropulmonary fibrosis, and exudative pleural effusion that developed insidiously while taking this medication. The extensive and invasive workup that preceded the diagnosis highlights the difficulty in attributing such a process to a drug reaction. This is the second report of such a reaction to pergolide, which is one of the increasing number of ergot-derived compounds in common clinical use.
引用
收藏
页码:313 / 316
页数:4
相关论文
共 8 条
[1]   FIBROTIC DISORDERS ASSOCIATED WITH METHYSERGIDE THERAPY FOR HEADACHE [J].
GRAHAM, JR ;
SUBY, HI ;
LECOMPTE, PR ;
SADOWSKY, NL .
NEW ENGLAND JOURNAL OF MEDICINE, 1966, 274 (07) :359-&
[2]   RETROPERITONEAL FIBROSIS IN A PATIENT WITH PARKINSONS-DISEASE TREATED WITH PERGOLIDE [J].
JIMENEZJIMENEZ, FJ ;
LOPEZALVAREZ, J ;
SANCHEZCHAPADO, M ;
MONTERO, E ;
MIQUEL, J ;
SIERRA, A ;
GUTIERREZ, F .
CLINICAL NEUROPHARMACOLOGY, 1995, 18 (03) :277-279
[3]  
Mizuno Y, 1995, Neurology, V45, pS13
[4]   Pleuropulmonary changes induced by ergoline drugs [J].
Pfitzenmeyer, P ;
Foucher, P ;
Dennewald, G ;
Chevalon, B ;
Debieuvre, D ;
Bensa, P ;
Piard, F ;
Camus, P .
EUROPEAN RESPIRATORY JOURNAL, 1996, 9 (05) :1013-1019
[5]  
ROBERT M, 1984, NEW ENGL J MED, V311, P601
[6]   BENIGN ASBESTOS PLEURAL EFFUSION - DIAGNOSIS AND COURSE [J].
ROBINSON, BWS ;
MUSK, AW .
THORAX, 1981, 36 (12) :896-900
[7]   Pericardial, retroperitoneal, and pleural fibrosis induced by pergolide [J].
Shaunak, S ;
Wilkins, A ;
Pilling, JB ;
Dick, DJ .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1999, 66 (01) :79-81
[8]   A randomized controlled study of pergolide in patients with restless legs syndrome [J].
Wetter, TC ;
Stiasny, K ;
Winkelmann, J ;
Buhlinger, A ;
Brandenburg, U ;
Penzel, T ;
Medori, R ;
Rubin, M ;
Oertel, WH ;
Trenkwalder, C .
NEUROLOGY, 1999, 52 (05) :944-950