Underdahl J P, Chiou A G
Edward S. Harkness Eye Institute, Columbia Presbyterian Medical Center, New York, NY 10032, USA.
Am J Ophthalmol. 1998 Feb;125(2):266-8. doi: 10.1016/s0002-9394(99)80109-3.
To report preseptal cellulitis and orbital bone destruction as ocular manifestations of nasal cocaine abuse.
Case report. We examined a 40-year-old male nasal cocaine abuser with diabetes mellitus and with signs of preseptal cellulitis. Computed tomographic imaging of the cranium was performed, and a nasal cavity biopsy specimen was obtained.
Computed tomographic findings showed extensive cartilaginous and bony destruction involving the nasal septum and medial wall of the left orbit, and the nasal biopsy specimen disclosed inflammatory exudate with neutrophils.
Nasal cocaine abuse induces mucoperichondrial ischemia and may be associated with cartilaginous and bony destruction as well as preseptal cellulitis.
报告鼻中隔前蜂窝织炎和眼眶骨质破坏作为鼻腔可卡因滥用的眼部表现。
病例报告。我们检查了一名40岁男性鼻腔可卡因滥用者，其患有糖尿病且有鼻中隔前蜂窝织炎的体征。对其进行了头颅计算机断层扫描成像，并获取了鼻腔活检标本。
计算机断层扫描结果显示鼻中隔和左眼眶内侧壁广泛的软骨和骨质破坏，鼻腔活检标本显示有含中性粒细胞的炎性渗出物。
鼻腔可卡因滥用会导致黏膜软骨膜缺血，可能与软骨和骨质破坏以及鼻中隔前蜂窝织炎有关。
