Diffuse cocaine-related purpura

Debjeet Sarkar, Hussein A. Kammona, Leonard Lamsen, Bradley A. McAbee, Christopher Clark, Solomon S. Lee, Shane E. Kelley

Research output: Contribution to journalLetter

2 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)132-133
Number of pages2
JournalJournal of Dermatological Case Reports
Volume7
Issue number4
DOIs
StatePublished - Dec 30 2013
Externally publishedYes

Fingerprint

Purpura
Cocaine
Levamisole
Vasculitis
Oxymorphone
Thrombocytopenic Purpura
Opioid-Related Disorders
Skin Manifestations
Centers for Disease Control and Prevention (U.S.)
Substance-Related Disorders
Prescriptions
Blood Platelets

All Science Journal Classification (ASJC) codes

  • Dermatology

Cite this

Sarkar, D., Kammona, H. A., Lamsen, L., McAbee, B. A., Clark, C., Lee, S. S., & Kelley, S. E. (2013). Diffuse cocaine-related purpura. Journal of Dermatological Case Reports, 7(4), 132-133. https://doi.org/10.3315/jdcr.2013.1159

Diffuse cocaine-related purpura. / Sarkar, Debjeet; Kammona, Hussein A.; Lamsen, Leonard; McAbee, Bradley A.; Clark, Christopher; Lee, Solomon S.; Kelley, Shane E.

In: Journal of Dermatological Case Reports, Vol. 7, No. 4, 30.12.2013, p. 132-133.

Research output: Contribution to journalLetter

Sarkar, D, Kammona, HA, Lamsen, L, McAbee, BA, Clark, C, Lee, SS & Kelley, SE 2013, 'Diffuse cocaine-related purpura', Journal of Dermatological Case Reports, vol. 7, no. 4, pp. 132-133. https://doi.org/10.3315/jdcr.2013.1159
Sarkar, Debjeet ; Kammona, Hussein A. ; Lamsen, Leonard ; McAbee, Bradley A. ; Clark, Christopher ; Lee, Solomon S. ; Kelley, Shane E. / Diffuse cocaine-related purpura. In: Journal of Dermatological Case Reports. 2013 ; Vol. 7, No. 4. pp. 132-133.
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