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Original Article

Small Vessel Vasculitis Associated With Cocaine Use

Rietkerk W, Pereira F, Poste J

Cutis. 2013;91:21-24.

We report a case of cocaine-induced small vessel vasculitis in a 51-year-old woman. We postulate that levamisole, an adulterant of cocaine, likely is the cause of this increase in cocaine-induced vasculitis. Based on a literature review, we suggest some helpful tests to differentiate cocaine-induced vasculitis from true autoimmune vasculitis in the setting of midline destructive nasal lesions.


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