Cocaine-Levamisole Thrombotic Vasculopathy

被引:5
|
作者
Dy, Irene A. [1 ,2 ]
Wiernik, Peter H. [1 ,2 ]
机构
[1] St Lukes Roosevelt Hosp, Dept Hematol & Oncol, New York, NY 10019 USA
[2] Continuum Canc Ctr New York, New York, NY USA
关键词
levamisole; cocaine; agranulocytosis; vasculitis; ANCA; AGRANULOCYTOSIS; ADULTERANT; VASCULITIS;
D O I
10.1055/s-0032-1328889
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The syndrome of cocaine-levamisole thrombotic vasculopathy is a tetrad of cutaneous manifestations, arthralgia, leukopenia, and positive antineutrophil cytoplasmic antigen (ANCA). Cocaine is cut with levamisole to potentiate its euphoric effects. However, along with this are the adverse reactions of levamisole such as fatal agranulocytosis, flu-like symptoms, and cutaneous thrombotic vasculopathy. High index of suspicion is needed for its diagnosis. This article will review on its toxicities, especially its prothrombotic effects.
引用
收藏
页码:780 / 782
页数:3
相关论文
共 50 条
  • [31] Levamisole-adulterated cocaine: Two fatal case reports and evaluation of possible cocaine toxicity potentiation
    Indorato, Francesca
    Romano, Guido
    Barbera, Nunziata
    FORENSIC SCIENCE INTERNATIONAL, 2016, 265 : 103 - 106
  • [32] Levamisole-Induced Vasculopathy With Gastric Involvement in a Cocaine User
    Boyd, Alan S.
    Ortleb, Melanie
    CUTIS, 2018, 102 (03): : 169 - 172
  • [33] Levamisole-Adulterated Cocaine: A Case Series
    Morris, Gerald W., Jr.
    Mason, Bryan C.
    Sprunger, Rachael Harris
    Harris, Holly Hake
    White, Luke A.
    Patterson, Dale A.
    JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE, 2012, 25 (04) : 531 - 535
  • [34] Agranulocytosis from Levamisole-Adulterated Cocaine
    Caldwell, Kimberly B.
    Graham, Oliver Z.
    Arnold, James J.
    JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE, 2012, 25 (04) : 528 - 530
  • [35] Agranulocytosis induced by levamisole in association to cocaine.
    Pellegrini, Debora
    Young, Pablo
    Grosso, Veronica
    Massa, Maria
    Bruetman, Julio E.
    MEDICINA-BUENOS AIRES, 2013, 73 (05) : 464 - 466
  • [36] Levamisole and cocaine synergism: A prevalent adulterant enhances cocaine's action in vivo
    Tallarida, Christopher S.
    Egan, Erin
    Alejo, Gissel D.
    Raffa, Robert
    Tallarida, Ronald J.
    Rawls, Scott M.
    NEUROPHARMACOLOGY, 2014, 79 : 590 - 595
  • [37] (Levamisole Adulterated) Cocaine-Induced Vasculitis: What Is Known/Current Evidence
    Donkers, Johan W. J.
    Feijen, Robert A.
    Rutgers, Abraham
    CURRENT TREATMENT OPTIONS IN RHEUMATOLOGY, 2024, 10 (03) : 35 - 42
  • [38] Cocaine- and Levamisole-Induced Vasculitis: Defining the Spectrum of Autoimmune Manifestations
    Iorio, Luca
    Davanzo, Federica
    Cazzador, Diego
    Codirenzi, Marta
    Fiorin, Eleonora
    Zanatta, Elisabetta
    Nicolai, Piero
    Doria, Andrea
    Padoan, Roberto
    JOURNAL OF CLINICAL MEDICINE, 2024, 13 (17)
  • [39] Characteristic purpura of the ears, vasculitis, and neutropenia-a potential public health epidemic associated with levamisole-adulterated cocaine
    Chung, Catherine
    Tumeh, Paul C.
    Birnbaum, Ron
    Tan, Belinda H.
    Sharp, Linda
    Mccoy, Erin
    Mercurio, Mary Gail
    Craft, Noah
    JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2011, 65 (04) : 722 - 725
  • [40] Levamisole in cocaine: Unexpected news from an old acquaintance
    Larocque, Alexandre
    Hoffman, Robert S.
    CLINICAL TOXICOLOGY, 2012, 50 (04) : 231 - 241