Acute Generalized Exanthematous Pustulosis Caused by Illicit Street Drugs?

Lu, Linh K.

doi:10.1001/archderm.143.3.430

Cited by 19 publications

(5 citation statements)

References 3 publications

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“…67 Second, there is a report of acute generalized exanthematous pustulosis in a 19-year-old woman associated with cannabis use. 68 Obviously, these individual reports require further investigation.…”

Section: Dermatologic Risks Associated With Cannabis Usementioning

confidence: 99%

The Risks and Benefits of Cannabis in the Dermatology Clinic

Dhadwal

Kirchhof

2017

J Cutan Med Surg

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Cannabis ( Cannabis sativa/indica), also known as marijuana, has been used for medicinal and recreational purposes for millennia. There has been a recent trend to legalize the use of cannabis, as illustrated by the recent legalization votes in numerous states in the United States and legislation in Canada to allow recreational cannabis use. With this increasing consumption of cannabis, dermatologists will see increased pressure to prescribe cannabis and will see the side effects of cannabis use with greater frequency. There are several approved medical indications for cannabis use, including psoriasis, lupus, nail-patella syndrome, and severe pain. In addition, very preliminary studies have suggested cannabis and its derivatives might have use in acne, dermatitis, pruritus, wound healing, and skin cancer. Further well-controlled studies are required to explore these potential uses. Conversely, the side effects of cannabis use are relatively well documented, and dermatologists should be aware of these presentations. Side effects of cannabis use include cannabis allergy manifesting as urticaria and pruritus, cannabis arteritis presenting with necrosis and ulcers, and oral cancers from cannabis smoke. In this review, we summarize some of the studies and reports regarding the medicinal uses of cannabis in the dermatology clinic and some of the side effects that might present more often to dermatologists as the use of cannabis increases.

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Section: Dermatologic Risks Associated With Cannabis Usementioning

confidence: 99%

The Risks and Benefits of Cannabis in the Dermatology Clinic

Dhadwal

Kirchhof

2017

J Cutan Med Surg

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“…C ocaine use has been associated with numerous cutaneous manifestations, including pseudovasculitis, 1 urticarial vasculitis, 2 Churg-Strauss vasculitis, 3 Raynaud phenomenon, 4,5 necrotizing granulomatous vasculitis, 6 Schönlein-Henoch vasculitis, palpable purpura, acute generalized exanthematous pustulosis, 7 and necrotizing vasculitis. 8,9 In addition to the cutaneous manifestations, cocaine use has also been associated with Stevens-Johnson syndrome, 10 Buerger disease, 11,12 hypertensive crisis, acute myocardial infarction, cerebral vascular accidents, and ventricular arrhythmia.…”

mentioning

confidence: 99%

Cocaine abuse: Dermatologic manifestations and therapeutic approaches

Brewer

Meves

Bostwick

et al. 2008

Journal of the American Academy of Dermatology

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“…En cuanto a la participación de los tóxicos en el origen del cuadro, está bien estudiada la relación entre el consumo habitual de cocaína y múltiples lesiones de índole dermatoló-gica como las vasculitis necrotizantes (Brust, 1997;Chevalier, Rostoker y Larget-Piet, 1995), las vasculitis de Schölein-Henoch (Lu y High, 2007), pseudovasculitis (Friedman yWolfsthal, 2005) o vasculitis de Churg-Strauss.…”

Section: Discussionunclassified

Síndrome de Ekbom en consumidor de metilfenidato intravenoso

Gómez¹,

Vicente-Alba

Ramos-Caneda

et al. 2012

Adicciones

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Ekbom syndrome is a mental disorder in which the patient has the monothematic delusion of being infected by parasites. It is an uncommon condition that was initially studied by dermatologists. The exactly etiology is unknown to date, though several causes have been proposed, including metabolic diseases (among other physical causes), psychiatric disorders, drugs, etc. Research has now found a relationship between drug abuse and psychotic symptoms, which appear to be due to altered levels of dopamine at the receptor level. In this article we review the clinical features of the condition and present the case report of an intravenous methylphenidate abuser who developed a delusion of parasitosis.Key words: Ekbom, parasitosis, infestation, delusion, methylphenidate.El Síndrome de Ekbom es un trastorno mental en que el paciente tiene la convicción delirante monotemática de estar infectado por parásitos. Se trata de un cuadro poco frecuente, que inicialmente fue estudiado por dermatólogos. No se conoce exactamente la etiopatiogenia hasta el momento, si bien se han objetivado diversas causas: enfermedades metabólicas (entre otras causas físicas), cuadros psiquiátricos, fármacos, etc. En la actualidad, se ha encontrado relación entre el consumo de tóxicos y cuadros psicóticos, que parecen debidos a la alteración de la Dopamina a nivel de sus receptores. En este artículo realizamos una revisión del cuadro clínico y presentamos el caso clínico de un paciente consumidor de metilfenidato intravenoso que desarrolla un delirio de infestación.Palabras clave: ekbom, parasitosis, infestación, delirio, metilfenidato.

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Acute Generalized Exanthematous Pustulosis Caused by Illicit Street Drugs?

Cited by 19 publications

References 3 publications

The Risks and Benefits of Cannabis in the Dermatology Clinic

The Risks and Benefits of Cannabis in the Dermatology Clinic

Cocaine abuse: Dermatologic manifestations and therapeutic approaches

Síndrome de Ekbom en consumidor de metilfenidato intravenoso

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