An unusual cause of recurrent chorea

Recurrent chorea is described in a 61‐year‐old woman who had had chorea gravidarum when she was younger. The recurrent chorea appeared to be induced by a topical vaginal cream that contained conjugated estrogen. This case is consistent with the existence of a recurrent syndrome of hormone‐induced chorea. The effect of estrogen on the basal ganglia is complex and not fully understood.