Categorized: Abstracts & Presentations

A Case of Cocaine-induced Vasculopathy

Cocaine has been known to cause several cutaneous conditions including Raynaud’s phenomenon, sclerosis, leukocytoclastic vasculitis, necrotizing granulomatous vasculitis, acute generalized exanthematous pustulosis, and Stevens-Johnson syndrome. Most recently, cutaneous vasculopathy associated with use of levamisole-adulterated cocaine has been described. Levamisole, a veterinary anthelmintic drug, is currently found in more than 70% of the United States’ cocaine supply. Use of levamisole-adulterated cocaine can result in several adverse reactions, including a purpuric rash with a predilection for the ears, leukopenia, and anti-neutrophilic cytoplasmic antibody (ANCA) positivity. We report the case of a 44-year-old woman who presented with the clinical findings of levamisole-contaminated cocaine use.