Jalal Vahedian, Abdollah Panahipour.
Brief report in vascular medicine Ergotamine-induced acute vascular insufficiency of the lower limbs.
Pak J Med Sci Jan ;23(1):137.

A 52-years-old female presented with acute severe claudication of lower extremities. Clinical examination and Doppler sonography revealed weakened pulsation of femoral arteries, but no detectable pulsation in both popliteal arteries and at more peripheral sites. Emergency multislice computed tomography (MSCT) angiography, using intravenous injection of non-ionic medium, demonstrated the morphology of bilateral and symmetrical smooth tapered narrowing of iliac and femoro-popliteal arteries. The patient suffered from recurrent erythema nodosum in her legs for 6 months. The patient`s medical history was typical for a person who suffers migraine headaches. During the previous two years, she received analgesic treatment with ergotamine tartrate. She also received propranolol 20 mg three times a day for 15 years too.

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