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Published on: February 18, 2016
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Cocaine-Induced Raynaud's Phenomenon: A Case Report.
Heong Jin C Ahn1, Albert Tine Iii1, Arsh N Patel1
1Department of Research, Alabama College of Osteopathic Medicine, Dothan, USA.
Cureus
|February 15, 2023
Summary
Cocaine use can cause Raynaud's phenomenon (RP), leading to severe digital symptoms. Early recognition of this secondary RP is crucial to prevent tissue damage and potential necrosis.
Area of Science:
- Vascular Medicine
- Toxicology
Background:
- Raynaud's phenomenon (RP) is a vasospastic disorder affecting extremities.
- Secondary RP can be triggered by various underlying conditions and substances.
Observation:
- A middle-aged male presented with acute left third- and fourth-digit discoloration and pain.
- Urine drug screen revealed synthetic cannabinoids, cocaine, and amphetamines.
- Initial treatment included nitroglycerin paste, oxycodone, Dilaudid®, and aspirin, providing partial pain relief.
Findings:
- The case highlights cocaine as a potential cause of secondary Raynaud's phenomenon.
- Cocaine-induced vasoconstriction can lead to digital ischemia and pain.
Implications:
- Recognizing cocaine-induced RP is vital for timely and appropriate patient management.
- Early intervention can mitigate the risk of severe complications like digital necrosis.
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