Colchicine: an ancient drug with novel applications

Br J Dermatol. 2018 Feb;178(2):350-356. doi: 10.1111/bjd.15896. Epub 2018 Jan 3.

Abstract

Colchicine is a treatment for gout that has been used for more than a millennium. It is the treatment of choice for familial Mediterranean fever and its associated complication, amyloidosis. The 2009 U.S. Food and Drug Administration approval of colchicine as a new drug had research consequences. Recent investigations with large cohorts of patients with gout who have been taking colchicine for years have demonstrated novel applications within oncology, immunology, cardiology and dermatology. Some emerging dermatological uses include the treatment of epidermolysis bullosa acquisita, leucocytoclastic vasculitis, aphthous stomatitis and others. In this work we relate the history and the new horizon of this ancient medicine.

Publication types

  • Historical Article
  • Research Support, N.I.H., Intramural
  • Review

MeSH terms

  • Colchicine / history
  • Colchicine / pharmacology
  • Colchicine / therapeutic use*
  • Dermatologic Agents / therapeutic use*
  • Familial Mediterranean Fever / drug therapy
  • Gout / drug therapy
  • Gout / history
  • Gout Suppressants / history
  • Gout Suppressants / pharmacology
  • Gout Suppressants / therapeutic use*
  • History, 19th Century
  • History, 21st Century
  • History, Ancient
  • Humans
  • Rheumatic Diseases / drug therapy
  • Skin Diseases / drug therapy
  • Stomatitis, Aphthous / drug therapy
  • Tubulin Modulators / pharmacology
  • Tubulin Modulators / therapeutic use*

Substances

  • Dermatologic Agents
  • Gout Suppressants
  • Tubulin Modulators
  • Colchicine

Supplementary concepts

  • Sutton disease 2