Ogunbameru Ayorinde, Jandali Mohammed, Issa Amer, Quwatli Waleed, Woodlock Timothy, Choudhry Wajid
Department of Internal Medicine, Unity Health System. Rochester, NY, USA.
JOP. 2015 Mar 20;16(2):192-4. doi: 10.6092/1590-8577/2942.
Levamisole-contaminated cocaine is an increasingly reported cause of vasculitis and immunologic abnormalities in cocaine abusers. The systemic effects of vasculitis are commonly seen in the dermatologic, hematologic and renal systems but rarely the gastrointestinal system.
We present an atypical case of cocaine-induced vasculitis presenting initially as an acute pancreatitis and then rapidly progressing to involve multi-organ systems over the next couple of weeks.
Internists should recognize that acute pancreatitis can present as an atypical and rare initial systemic manifestation of cocaine-induced vasculitis.
受左旋咪唑污染的可卡因是可卡因滥用者中血管炎和免疫异常的一个报道日益增多的病因。血管炎的全身影响常见于皮肤、血液和肾脏系统，但很少见于胃肠道系统。
我们呈现了一例非典型的可卡因诱导的血管炎病例，最初表现为急性胰腺炎，随后在接下来的几周内迅速进展累及多器官系统。
内科医生应认识到急性胰腺炎可能是可卡因诱导的血管炎一种非典型且罕见的初始全身表现。
