Reticular Rash, Cocaine, and Levamisole

Slides:

Advertisements

Similar presentations

Celebrating the Sesquicentennial of Mayo Clinic: 150 Years of Advances in Medical Practice, Education, Research, and Professionalism William L. Lanier,

Advertisements

Untitled (Sailboats) by Leo Sewell

Controversies in Barrett Esophagus

Diverticulosis and Diverticulitis

Flowers in Vase and Table Setting by William Schulman

Pleomorphic Adenoma in the Parotid Gland

Expression of Gratitude to Scott C

Ductal Carcinoma in Situ of the Breast

Ultraviolet Purpura in IgA Vasculitis

Diverticulosis and Diverticulitis

Crohn Disease: Epidemiology, Diagnosis, and Management

Complications Associated With Use of Levamisole-Contaminated Cocaine: An Emerging Public Health Challenge Kachiu C. Lee, MD, MPH, Barry Ladizinski, MD,

De Novo Systemic Vasculitis in a Renal Transplant Recipient

Dermatitis as One of the 3 Ds of Pellagra

Mucinous Neoplasm of the Appendix and Pseudomyxoma Peritonei

Review of Childhood Obesity

Management of Adult Onset Seizures

Mythological Botanical No. 1 and No. 2 by Trudy Kraft

Recognition and Management of Nonrelaxing Pelvic Floor Dysfunction

44-Year-Old Man With Fatigue and Anemia

Understanding Palliative Care and Hospice

Untitled by Martin Blank

Gestational Trophoblastic Disease

Bronze Statues by Jane DeDecker

Palliative Care and Hospice Programs

Sister Mary Joseph’s Nodule

Topical Analgesics in the Management of Acute and Chronic Pain

Acupuncture Mayo Clinic Proceedings

Madonna della Pietá by Michelangelo

Red River and October, Paramecium Pond by Gordon Mortenson

Applique Quilt Prince's Feather Pattern – Circa 1845

Metastatic Breast Cancer

Pancreatic Ductal Adenocarcinoma

Cocaine-Induced Pseudovasculitis

Recurrent Laryngeal Papillomatosis

Scleromyxedema: A Complete Response to Prednisone

Gastric Signet Ring Cell Carcinoma

Classic Hodgkin Lymphoma

Infliximab-Associated Reversible Cholestatic Liver Disease

Nonalcoholic Steatohepatitis

Management of Adult Onset Seizures

Pleomorphic Adenoma in the Parotid Gland

Renal Pyelocalyceal Squamous Cell Carcinoma

Evaluation and Management of Penicillin Allergy

IGS V, Series #4 by Marvin B. Lipofsky

Institutional Review Boards: What Clinician Researchers Need to Know

Diabetic Mastopathy Mayo Clinic Proceedings

27-Year-Old Woman With Pancytopenia

Hepatocellular Carcinoma

Down River by Charles Munch

Postoperative Trouble

Pulmonary Tumor Embolism of Unknown Origin

Janis E. Blair, MD, Lorna J. Fredrikson, MD, Barbara A

Celebrating the Sesquicentennial of Mayo Clinic: 150 Years of Advances in Medical Practice, Education, Research, and Professionalism William L. Lanier,

Lowering the High Cost of Cancer Drugs—IV

Rituximab-Induced Acute Pulmonary Fibrosis

Mantle Cell Involvement of the Spleen

Squamous Cell Carcinoma of the Tongue

Photosensitive Lichenoid Reaction to Torsemide—a Loop Diuretic

Preoperative Smoking Cessation: The Role of the Primary Care Provider

Pink Manta by Joseph Pagano

Minnesota Birds and Flora by Emily Wilson

Controversies in Barrett Esophagus

33-Year-Old Woman With Pleuritic Chest Pain and Nonproductive Cough

Light Green With Yellow Top by Henry S. Hillman, Jr

Factitial Panniculitis Associated With Cosmetic Filler

Diagnosis and Management of Headache in Older Adults

Adrenocortical Carcinoma Arising From a Long-standing Adrenal Mass

Mayo Clinic Proceedings 2012: “A New Era in Journal Stewardship”

16-Year-Old Boy With Gross Hematuria

Presentation transcript:

Reticular Rash, Cocaine, and Levamisole Frunze Petrosyan, MD Mayo Clinic Proceedings Volume 88, Issue 2, (February 2013) DOI: 10.1016/j.mayocp.2012.09.018 Copyright © 2013 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Right leg with rash of distinctive reticular pattern after the use of levamisole-adulterated cocaine. Mayo Clinic Proceedings 2013 88, DOI: (10.1016/j.mayocp.2012.09.018) Copyright © 2013 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Rash in the buttock region. Mayo Clinic Proceedings 2013 88, DOI: (10.1016/j.mayocp.2012.09.018) Copyright © 2013 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 3 Skin biopsy from the rash. Levamisole-adulterated vasculitis is associated with leukocytoclastic vasculitis and fibrin thrombi (arrow). Hematoxylin-eosin, original magnification x100. Mayo Clinic Proceedings 2013 88, DOI: (10.1016/j.mayocp.2012.09.018) Copyright © 2013 Mayo Foundation for Medical Education and Research Terms and Conditions