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- Rubi Stephani Hellwege, Thomas Sitter, and Markus Wörnle.
- Institut für Intensivmedizin, Universitätsspital Zürich.
- Dtsch. Med. Wochenschr. 2023 Sep 1; 148 (18): 118211861182-1186.
History And Clinical FindingsA 20-years-old patient presented himself to our emergency room with extensive and extremely painful purpura with necrotizing spots and blisters, especially on the lower extremities, but also on the arms, trunk and ears. There was a pre-existing use of cocaine.Medical ExaminationsLaboratory tests showed increased signs of inflammation as well as an increase in proteinase 3- and myeloperoxidase-ANCA (Anti-neutrophil cytoplasmatic antibody).DiagnosisIn combination with the medical history, the clinical findings, and the laboratory values, vasculitis of the skin after cocaine use was revealed.Therapy And CourseUnder therapy with steroids and cocaine abstinence, there was a regression of the changes.ConclusionVasculitis is a serious complication of cocaine use.Thieme. All rights reserved.
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