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- Omar Metwally, Massihullah Hamidi, Leilani Townsend, Hasan Abualula, Anwar Zaitoun, and Thomas Lall.
- Department of Internal Medicine, University of Michigan Health System, 3301 Taubman Center (SPC 5382), 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA. metwally@med.umich.edu
- Subst Abus. 2013 Jan 1;34(1):75-7.
AbstractTwo million Americans use cocaine on a regular basis. Sixty-nine percent of cocaine in the United States is adulterated with levamisole, a veterinary antihelminthic drug. In 2008, the first cases of levamisole-induced agranulocytosis and vasculopathy associated with adulterated cocaine were reported in the southwestern United States. Since then, reports of levamisole-associated toxicity have become increasingly common. The authors present the case of a 47-year-old woman from Michigan with purpuric lesions likely secondary to levamisole-induced leukocytoclastic vasculitis.
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