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[Thrombotic vasculopathy probably associated with cocaine contaminated with levamisole: report of 2 cases]
María Abril Martínez-Velasco1, Luis Felipe Flores-Suárez, Sonia Toussaint-Caire
1División de Dermatología, Hospital General "Dr. Manuel Gea González", Secretaría de Salud, Distrito Federal, México. abrilbrug@hotmail.com.
Abstract:
The vasculities are complex diseases. Their cutaneous manifestations are very important and often mirror several pathologies. Cocaine use has been related to both, vasculitis and thrombotic vasculopathy and pseudovasculitis. A new syndrome has been described in association with its adulteration with levamisole. It can be very serious, leading patients to death. This is relevant as levamisole-adultered cocaine seems to be increasingly offered to consumers. Our goal is to report the first two cases in Mexico, which faces an important raise in cocaine use, emphasizing that a high suspicion based on certain characteristics allows for early recognition and adequate treatment.