Ronda J M, Sancho M, Lafarga J, Gras J R, Aracil A
Servicio ORL, Hospital General Universitario de Alicante.
Acta Otorrinolaringol Esp. 2002 Feb;53(2):129-32. doi: 10.1016/s0001-6519(02)78291-5.
Midfacial necrosis due to the abuse of inhaled cocaine is a new entity that is included in the differential diagnosis of the midline destructive diseases such as Wegener's granulomatosis, polymorphic reticulosis, nasal lymphoma, infections and the idiopathic midline destructive disease. We report the case of a forty-year-old male who presented necrosis of the nasosinusal tract and optic neuropathy as complications due to the abuse of inhaled cocaine for more than twenty years and a discussion about the differential diagnosis.
因滥用吸入性可卡因导致的面部中部坏死是一种新的病症，被纳入中线破坏性疾病（如韦格纳肉芽肿、多形性网状细胞增多症、鼻腔淋巴瘤、感染以及特发性中线破坏性疾病）的鉴别诊断范畴。我们报告了一例40岁男性病例，该患者因滥用吸入性可卡因超过20年，出现了鼻窦道坏死和视神经病变等并发症，并对鉴别诊断进行了讨论。
