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[可能与被左旋咪唑污染的可卡因相关的血栓性血管病:2例报告]

[Thrombotic vasculopathy probably associated with cocaine contaminated with levamisole: report of 2 cases].

作者信息

Martínez-Velasco María Abril, Flores-Suárez Luis Felipe, Toussaint-Caire Sonia, Rodríguez-Carreón Angélica, Díaz-Lozano Marisol, Sánchez-Armendáriz Karen

机构信息

División de Dermatología, Hospital General "Dr. Manuel Gea González", Secretaría de Salud, Distrito Federal, México.

出版信息

Rev Med Inst Mex Seguro Soc. 2015 Jan-Feb;53(1):98-101.

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.

摘要

血管炎是复杂的疾病。其皮肤表现非常重要,且常常反映多种病理情况。使用可卡因与血管炎、血栓性血管病以及假性血管炎均有关联。一种与左旋咪唑掺假相关的新综合征已被描述。它可能非常严重,可导致患者死亡。鉴于掺有左旋咪唑的可卡因似乎越来越多地流向消费者,这一情况具有重要意义。我们的目标是报告墨西哥的前两例病例,该国可卡因使用量大幅上升,强调基于某些特征进行高度怀疑有助于早期识别和恰当治疗。

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