Martin K, Rogers T, Kavanaugh A
Department of Internal Medicine, University of Texas, Southwestern Medical Center, Dallas, USA.
J Rheumatol. 1995 Apr;22(4):780-2.
Cocaine abuse has been associated with various cerebrovascular complications, including vasculitis. We describe a patient who presented with neurologic defects associated with cocaine abuse. Although angiography raised the suggestion of vasculitis, biopsy revealed a lack of inflammatory changes, and other aspects of the clinical course also militated against inflammatory vasculitis. This case was reminiscent of recently described patients initially suspected of having primary central nervous system (CNS) vasculitis but subsequently considered to have "benign angiopathy." We suggest that benign angiopathy of the CNS can occur as a result of cocaine abuse.
可卡因滥用与包括血管炎在内的各种脑血管并发症有关。我们描述了一名出现与可卡因滥用相关神经功能缺损的患者。尽管血管造影显示有血管炎的迹象，但活检显示没有炎症变化，而且临床病程的其他方面也不支持炎症性血管炎。该病例让人想起最近描述的一些患者，他们最初被怀疑患有原发性中枢神经系统（CNS）血管炎，但后来被认为患有“良性血管病”。我们认为，中枢神经系统的良性血管病可能是可卡因滥用的结果。
