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1. Leukocytoclastic Vasculitis Induced by Cocaine Adulterated with Levamisole

Author

Alberto Barbotti, Alina Cristiana Gheorghiu, Tanja Fusi-Schmidhauser, and Lorenzo Grazioli-Gauthier

Subjects
leukocytoclastic vasculitis, cocaine, heroin, levamisole, Medicine
Abstract

Leukocytoclastic vasculitis is a cutaneous, small-vessel vasculitis. In 50% of cases the aetiology is idiopathic but it can be linked to drugs, infections, autoimmune disorders and various types of cancer. Levamisole is used as an adulterant in cocaine and heroin and has been associated with the development of leukocytoclastic vasculitis. We describe an atypical presentation of a patient with levamisole-induced leukocytoclastic vasculitis who presented with diffuse skin abscesses and a purpuric rash of the upper and lower limbs.

Published
2022
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