Patients presenting with pancytopenia and a painful purpuric rash should be evaluated for levamisole-induced vasculitis and counseled about cocaine cessation as continued exposure can lead to permanent deformity of the involved areas.
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http://dx.doi.org/10.1002/ccr3.3450 | DOI Listing |
G Ital Nefrol
August 2024
UOC Nefrologia e Dialisi, PO Di Venere, Bari.
J Int Med Res
April 2024
Department of Rheumatology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Radiol Case Rep
May 2024
Hassan II University Hospital-Fez, Department of Radiology, Faculty of Medicine, Pharmacy and Dental Care, Sidi Mohammed Ben Abdellah University, Fez, Morocco.
Crack is the most potent form of cocaine. It directly affects lungs if inhaled and the damage may include barotrauma, acute pulmonary edema, alveolar hemorrhage, bronchiolitis obliterans with organizing pneumonia, or vasculitis. The diagnosis of cocaine-related lung damage is based on clinical symptoms and radiological findings.
View Article and Find Full Text PDFClin Rheumatol
April 2024
Department of Neurology, University of North Carolina School of Medicine, 170 Manning Drive, CB 7025, Chapel Hill, NC, 27599, USA.
Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) is a group of rare conditions predominantly affecting small vessels of skin, musculoskeletal, pulmonary, renal, and rarely central and peripheral nervous systems. Isolated neurological manifestations of AAV are uncommon and challenging to diagnose. Cocaine has been reported as a potential trigger for the development of AAV.
View Article and Find Full Text PDFLaryngoscope
June 2024
Department of ENT, Royal National ENT & Eastman Dental Hospitals, London, UK.
Objective: In this multicentric study involving three London hospitals, we compared ANCA-positive and ANCA-negative cocaine-induced midline destructive lesions (CIMDL) patients to assess how presence of antineutrophil cytoplasmic antibodies (ANCA) may correlate with disease severity. Our secondary aims are to better classify etiology centered around ANCA positivity and, consequently, better disease management.
Methods: A retrospective review was performed to identify patients with CIMDL seen between January 2019 and December 2022.
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