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Research Article | Volume 7 Issue 4 (None, 2013) | Pages 132 - 133
Photoletter to the editor: Diffuse cocaine-related purpura
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Under a Creative Commons license
Open Access
PMID : PMC3888784
Received
June 13, 2013
Published
Dec. 30, 2013
Abstract

Diffuse purpura is an uncommon skin manifestation found in platelet and coagulation disorders, meningococcemia, vasculitides and cocaine use. Reports of cocaine-related purpura predominantly involve adulteration with the anti-helminthic, levamisole. Levamisole enhances the effects of cocaine and is known to cause vasculitis. Recently, the CDC also released an advisory of oxymorphone being used intravenously causing thrombogenic thrombocytopenic purpura (TTP). We report the case of a patient with diffuse purpura ultimately diagnosed with cocaine-related thrombogenic vasculopathy. In the current environment of adulterated cocaine usage and increased prescription narcotic abuse, it is crucial to investigate substance abuse as a cause of diffuse purpura.

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