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Updated: Sep 28, 2026

Refined Murine Model of Idiopathic Pulmonary Fibrosis
Published on: June 17, 2025
Pergolide-induced pleuropulmonary fibrosis
G S Bleumink1, M van der Molen-Eijgenraam, J H Strijbos
1Drug Safety Unit, Inspectorate for Healthcare, The Hague, The Netherlands.
Abstract:
Pleuropulmonary fibrosis is a rare, but well-recognized adverse effect of ergot alkaloids. We report on four patients who developed pleural and/or pulmonary fibrosis during treatment with pergolide and give characteristics of 87 cases with one or more symptoms of serosal fibrosis. Retroperitoneal and pleuropulmonary fibrosis are serious conditions, which are often irreversible after drug withdrawal. Increased awareness may help to diagnose these complications at an earlier stage and to minimize any permanent damage to the patient.
Insights
Ergot alkaloids, like pergolide, can cause rare but serious pleuropulmonary fibrosis. Early diagnosis of this irreversible condition is crucial for minimizing patient damage.
Area of Science:
- Pharmacology
- Pulmonology
- Toxicology
Background:
- Ergot alkaloids are associated with rare adverse effects.
- Pleuropulmonary fibrosis is a recognized complication.
- Serosal fibrosis can manifest in various forms.
Observation:
- Four patients developed pleural and/or pulmonary fibrosis during pergolide treatment.
- Eighty-seven cases with serosal fibrosis symptoms were analyzed.
- Fibrosis can affect the pleura, lungs, and retroperitoneum.
Findings:
- Pleuropulmonary fibrosis is a serious and often irreversible adverse effect of ergot alkaloids.
- Pergolide treatment was linked to these fibrotic conditions in the reported cases.
- Serosal fibrosis symptoms were observed in a significant number of patients.
Implications:
- Increased awareness of ergot alkaloid-induced fibrosis is needed.
- Early diagnosis can help minimize permanent patient damage.
- Prompt identification and management are key to better patient outcomes.
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