Cocaine-Related Vasculitis Causing Upper-Limb Peripheral Vascular Disease
Authors: P. Dileep Kumar
Journal: Annals of Internal Medicine (2000)

Letters5 December 2000Cocaine-Related Vasculitis Causing Upper-Limb Peripheral Vascular DiseaseP. Dileep Kumar, MD and Howard R. Smith, MDP. Dileep Kumar, MDHuron Hospital/Cleveland Clinic Health System; Cleveland, OH 44112 (Kumar, Smith) and Howard R. Smith, MDHuron Hospital/Cleveland Clinic Health System; Cleveland, OH 44112 (Kumar, Smith)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-133-11-200012050-00026 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Cocaine is known to be associated with vascular diseases of several organs, such as the central nervous system, heart, and abdomen (1). Vasculitis is believed to be one of the mechanisms of cerebrovascular diseases associated with cocaine (2). We report a case of cocaine-related vasculitis causing peripheral vascular disease of the upper limb.A 48-year-old man with a history of recurrent deep venous thrombosis was admitted in 1996 for ischemia of the right index finger due to occlusion of the distal ulnar artery. This condition was treated by a venous bypass graft. The patient had a 15-pack-year ...References1. Cregler LL, Mark H. Medical complications of cocaine abuse. N Engl J Med. 1986;315:1495-500. CrossrefMedlineGoogle Scholar2. Krendel DA, Ditter SM, Frankel MR, Ross WK. Biopsy-proven cerebral vasculitis associated with cocaine abuse. Neurology. 1990;40:1092-4. CrossrefMedlineGoogle Scholar3. Valente RM, Conn DL. Polyarteritis. Polyarteritis nodosa and microscopic polyangitis. In: Klippel JH, Dieppe PA, eds. Rheumatology. 2nd ed. London: Mosby International; 1998:7.20.1-10. Google Scholar4. Sutton D. Arteriography and therapeutic angioplasty.. In: Sutton D, eds. A Textbook of Radiology and Imaging. 5th ed. Edinburgh: Churchill Livingstone; 1993:683. Google Scholar5. Shionoya S. Diagnostic criteria of Buerger's disease. Int J Cardiol. 1998;66 Suppl 1 S243-5; discussion S247. CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Huron Hospital/Cleveland Clinic Health System; Cleveland, OH 44112 (Kumar, Smith) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCocaine-Related Vasculitis Causing Upper-Limb Peripheral Vascular Disease Norm R.C. Campbell and Nadia Khan Cocaine-Related Vasculitis Causing Upper-Limb Peripheral Vascular Disease John A. Spittell Jr. and Peter C. Spittell Cocaine-Related Vasculitis Causing Upper-Limb Peripheral Vascular Disease P. Dileep Kumar and Howard R. Smith Metrics Cited byDrug-induced Raynaud's phenomenon: beyond β-adrenoceptor blockersCocaineCocaineEmerging Adverse Cutaneous Drug ReactionsDRUGS OF ABUSEADVERSE CARDIOVASCULAR EFFECTS OF NON-CARDIOVASCULAR DRUGSCocaineToxic dementiasPseudosclerodermatous triad of perniosis, pulp atrophy and 'parrot-beaked' clawing of the nails – a newly recognized syndrome of chronic crack-cocaine useNecrosis cutáneasIschémie subaiguë d'un membre inférieur et toxicité artérielle périphérique de la cocaïne chez une patiente présentant une artériopathie juvénileCocaineNécroses cutanéesCutaneous complications of intravenous drug abuseArtériopathies du cannabis : quatre nouveaux casCocaine and Arsenic-Induced Raynaud's PhenomenonVascular Complications of Cocaine UseDrugs of abuseCocaine-Related Vasculitis Causing Upper-Limb Peripheral Vascular DiseaseJohn A. Spittell Jr., MD and Peter C. Spittell, MDCocaine-Related Vasculitis Causing Upper-Limb Peripheral Vascular DiseaseNorm R.C. Campbell, MD, FRCPC and Nadia Khan, MD 5 December 2000Volume 133, Issue 11Page: 923-924KeywordsAngiographyArteriesCocaineIschemiaPeripheral vascular diseaseRapid plasma reaginToxicologyUrineVascular diseasesVasculitis ePublished: 5 December 2000 Issue Published: 5 December 2000 Copyright & PermissionsCopyright © 2000 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...