Necrotizing granulomatous vasculitis associated with cocaine use

Cocaine abuse may be associated with a destructive nasal and pharyngeal process felt to be due to ischemia secondary to vasoconstriction. This report is the first to document a necrotizing granulomatous vasculitis associated with nasal destruction and an oronasal fistula in a chronic cocaine user. C...

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Published in:Journal of rheumatology Vol. 29; no. 8; pp. 1795 - 1797
Main Authors: GERTNER, Elie, HAMLAR, Dave
Format: Journal Article
Language:English
Published: Toronto, ON The Journal of Rheumatology 01-08-2002
Journal of Rheumatology Publishing
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Abstract Cocaine abuse may be associated with a destructive nasal and pharyngeal process felt to be due to ischemia secondary to vasoconstriction. This report is the first to document a necrotizing granulomatous vasculitis associated with nasal destruction and an oronasal fistula in a chronic cocaine user. Cocaine is an environmental insult that may play a role in triggering cerebral and non-cerebral vasculitis including a necrotizing granulomatous vasculitis of the respiratory tract.
AbstractList Cocaine abuse may be associated with a destructive nasal and pharyngeal process felt to be due to ischemia secondary to vasoconstriction. This report is the first to document a necrotizing granulomatous vasculitis associated with nasal destruction and an oronasal fistula in a chronic cocaine user. Cocaine is an environmental insult that may play a role in triggering cerebral and non-cerebral vasculitis including a necrotizing granulomatous vasculitis of the respiratory tract.
Cocaine abuse may be associated with a destructive nasal and pharyngeal process felt to be due to ischemia secondary to vasoconstriction. This report is the first to document a necrotizing granulomatous vasculitis associated with nasal destruction and an oronasal fistula in a chronic cocaine user. Cocaine is an environmental insult that may play a role in triggering cerebral and non-cerebral vasculitis including a necrotizing granulomatous vasculitis of the respiratory tract.
Author Elie Gertner
Dave Hamlar
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  organization: Department of Otolaryngology/Head and Neck Surgery, University of Minnesota Medical School; Section of Rheumatology, and Department of Otolaryngology, Regions Hospital, St. Paul, MN, United States
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  givenname: Dave
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  fullname: HAMLAR, Dave
  organization: Department of Otolaryngology/Head and Neck Surgery, University of Minnesota Medical School; Section of Rheumatology, and Department of Otolaryngology, Regions Hospital, St. Paul, MN, United States
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Keywords Human
Granulomatous vasculitis
Drug addiction
Necrotizing vasculitis
Upper respiratory tract
Respiratory disease
Toxicity
Cardiovascular disease
Vascular disease
Case study
Ester
ENT disease
Adult
Cocaine
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Snippet Cocaine abuse may be associated with a destructive nasal and pharyngeal process felt to be due to ischemia secondary to vasoconstriction. This report is the...
Cocaine abuse may be associated with a destructive nasal and pharyngeal process felt to be due to ischemia secondary to vasoconstriction. This report is the...
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SubjectTerms Biological and medical sciences
Cocaine
Cocaine-Related Disorders - complications
Cocaine-Related Disorders - pathology
Cocaine-Related Disorders - surgery
Drug addictions
Granuloma - chemically induced
Granuloma - pathology
Granuloma - surgery
Humans
Male
Medical sciences
Middle Aged
Nasal Septum - drug effects
Nasal Septum - pathology
Nasal Septum - surgery
Necrosis
Non tumoral diseases
Nose Diseases - chemically induced
Nose Diseases - pathology
Nose Diseases - surgery
Oral Fistula - chemically induced
Oral Fistula - pathology
Oral Fistula - surgery
Otorhinolaryngology. Stomatology
Paranasal Sinuses - drug effects
Paranasal Sinuses - pathology
Paranasal Sinuses - surgery
Toxicology
Treatment Outcome
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
Vasculitis - chemically induced
Vasculitis - pathology
Vasculitis - surgery
Title Necrotizing granulomatous vasculitis associated with cocaine use
URI http://www.jrheum.org/content/29/8/1795.abstract
https://www.ncbi.nlm.nih.gov/pubmed/12180747
Volume 29
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