Fibrosis retroperitoneal asociada a uso crónico de ergotamina. Tratamiento con colchicina y esteroides: Caso clínico

Retroperitoneal fibrosis (RPF) associated with chronic use of ergotamine is a very rare disorder. We report a 45-year-old woman who presented with a RPf after using, almost daily for 23 years, ergotamine tartrate for migraine relief. FRP presented as a chronicinflammatory state, anemia, abdominal an...

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Autores principales:	Vega,Jorge, Goecke,Helmuth, Santamarina,Mario
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2011
Materias:	Anti inflammatory agents Colchicine Ergotamine Retroperitoneal fibrosis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000400012
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spelling	oai:scielo:S0034-988720110004000122011-08-25Fibrosis retroperitoneal asociada a uso crónico de ergotamina. Tratamiento con colchicina y esteroides: Caso clínicoVega,JorgeGoecke,HelmuthSantamarina,Mario Anti inflammatory agents Colchicine Ergotamine Retroperitoneal fibrosis Retroperitoneal fibrosis (RPF) associated with chronic use of ergotamine is a very rare disorder. We report a 45-year-old woman who presented with a RPf after using, almost daily for 23 years, ergotamine tartrate for migraine relief. FRP presented as a chronicinflammatory state, anemia, abdominal and lumbosacral pain and a hypogastric mass. A CT-Scan showed a periaortic mass and left hydronephrosis. A percutaneous biopsy was obtained and the patient was subjected to a surgical ureterolysis and tissue resection. The biopsy confirmed the presence of RPf. Due to persistent symptoms and increase in the volume of periaortic tissue, treatment with colchicine 1 mg/day and defazacort 30 mg/day was started, resulting in a rapid di-sappearance of symptoms, disappearance ofinflammation and a significant reduction in the volume of the periaortic tissue. The patient remains in complete remission after 29 months of follow up.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.139 n.4 20112011-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000400012es10.4067/S0034-98872011000400012
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Anti inflammatory agents Colchicine Ergotamine Retroperitoneal fibrosis
spellingShingle	Anti inflammatory agents Colchicine Ergotamine Retroperitoneal fibrosis Vega,Jorge Goecke,Helmuth Santamarina,Mario Fibrosis retroperitoneal asociada a uso crónico de ergotamina. Tratamiento con colchicina y esteroides: Caso clínico
description	Retroperitoneal fibrosis (RPF) associated with chronic use of ergotamine is a very rare disorder. We report a 45-year-old woman who presented with a RPf after using, almost daily for 23 years, ergotamine tartrate for migraine relief. FRP presented as a chronicinflammatory state, anemia, abdominal and lumbosacral pain and a hypogastric mass. A CT-Scan showed a periaortic mass and left hydronephrosis. A percutaneous biopsy was obtained and the patient was subjected to a surgical ureterolysis and tissue resection. The biopsy confirmed the presence of RPf. Due to persistent symptoms and increase in the volume of periaortic tissue, treatment with colchicine 1 mg/day and defazacort 30 mg/day was started, resulting in a rapid di-sappearance of symptoms, disappearance ofinflammation and a significant reduction in the volume of the periaortic tissue. The patient remains in complete remission after 29 months of follow up.
author	Vega,Jorge Goecke,Helmuth Santamarina,Mario
author_facet	Vega,Jorge Goecke,Helmuth Santamarina,Mario
author_sort	Vega,Jorge
title	Fibrosis retroperitoneal asociada a uso crónico de ergotamina. Tratamiento con colchicina y esteroides: Caso clínico
title_short	Fibrosis retroperitoneal asociada a uso crónico de ergotamina. Tratamiento con colchicina y esteroides: Caso clínico
title_full	Fibrosis retroperitoneal asociada a uso crónico de ergotamina. Tratamiento con colchicina y esteroides: Caso clínico
title_fullStr	Fibrosis retroperitoneal asociada a uso crónico de ergotamina. Tratamiento con colchicina y esteroides: Caso clínico
title_full_unstemmed	Fibrosis retroperitoneal asociada a uso crónico de ergotamina. Tratamiento con colchicina y esteroides: Caso clínico
title_sort	fibrosis retroperitoneal asociada a uso crónico de ergotamina. tratamiento con colchicina y esteroides: caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2011
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000400012
work_keys_str_mv	AT vegajorge fibrosisretroperitonealasociadaausocronicodeergotaminatratamientoconcolchicinayesteroidescasoclinico AT goeckehelmuth fibrosisretroperitonealasociadaausocronicodeergotaminatratamientoconcolchicinayesteroidescasoclinico AT santamarinamario fibrosisretroperitonealasociadaausocronicodeergotaminatratamientoconcolchicinayesteroidescasoclinico
_version_	1718436562182602752

Fibrosis retroperitoneal asociada a uso crónico de ergotamina. Tratamiento con colchicina y esteroides: Caso clínico

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