Skin Lesions in Drug Addicts

Vollum, Dorothy I.

doi:10.1136/bmj.2.5710.647

Cited by 55 publications

(30 citation statements)

References 2 publications

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“…Hyperpigmented, linear cutaneous scars resulting from the injury and sclerosis of injected veins are known as ‘needle tracks’ . In 1970, Vollum reported that hyperpigmentation of the skin overlying veins used for IVDU was related to the individual's skin color, suggesting that the hyperpigmentation was related to post‐inflammatory changes . Vollum noted that the degree of hyperpigmentation was unrelated to the duration of IVDU .…”

Section: Discussionmentioning

confidence: 99%

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Dermatopathologic manifestations of intravenous drug use

et al. 2015

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Cutaneous manifestations of IVDU should be considered in the differential as an etiology for dermatopathologic findings in high-risk patients. We report histopathological findings beyond the scope of those most commonly associated with IVDU. We aim to raise awareness of the cutaneous manifestations of IVDU to improve clinicopathological correlation and patient management in light of the ongoing epidemic.

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Section: Discussionmentioning

confidence: 99%

“…One study reported that 11% of IV drug users experienced at least one abscess in 6 months . Other cutaneous complications reported in association with IVDU include thrombophlebitis, aneurysms (mycotic and false aneurysms), necrotizing ulcers, granulomas, hyperpigmentation and scars …”

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confidence: 99%

Dermatopathologic manifestations of intravenous drug use

et al. 2015

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“…Firstly described by Abeles in 1965 in New York prisoners, it could affect from 7 to 16% intravenous drug users [1, 2]. Sex (women), injections in the hands and in the feet and the absence of tourniquet are significant risk factors for puffy hand syndrome [3].…”

Section: Discussionmentioning

confidence: 99%

Puffy Hand Syndrome Revealed by a Severe Staphylococcal Skin Infection

Amode

Bilan²,

Sin³

et al. 2013

Case Reports in Dermatological Medicine

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Puffy hand syndrome develops after long-term intravenous drug addiction. It is characterized by a nonpitting edema, affecting the dorsal side of fingers and hands with puffy aspect. Frequency and severity of the complications of this syndrome are rarely reported. Local infectious complications such as cellulitis can be severe and can enable the diagnosis. Herein, we report the case of a 41-year-old man who went to the emergency department for abdominal pain, fever, and bullous lesions of legs and arms with edema. Bacteriologic examination of a closed bullous lesion evidenced a methicillin sensitive Staphylococcus aureus. The abdomen computed tomography excluded deep infections and peritoneal effusion. The patient was successfully treated by intravenous oxacillin and clindamycin. He had a previous history of intravenous heroin addiction. We retained the diagnosis of puffy hand syndrome revealed by a severe staphylococcal infection with toxic involvement mimicking a four limbs cellulitis. Puffy hand syndrome, apart from the chronic lymphedema treatment, has no specific medication available. Prophylactic measures against skin infections are essential.

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“…Abscesses and cellulitis include the most common SSTI affecting IDU [4,7]. There are several independent risk factors for developing SSTI in injection drug abusers, the most important being skin-popping [8].…”

Section: Infectious Complicationsmentioning

confidence: 99%

Dermatologic Signs and Symptoms of Substance Abuse

Raiker¹,

Aouthmany²

2016

J Clin Exp Dermatol Res

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Various substances of abuse are known to cause specific cutaneous manifestations. In this review, we highlight the cutaneous manifestations associated with the use of cocaine, heroin, marijuana, methamphetamine, alcohol, and anabolic steroids. Cutaneous signs of tanning addiction are also discussed, as tanning bed use is a particularly relevant and growing problem in Dermatology. We also provide examples of general signs of drug abuse, including stigmata of injection drug use, vascular complications, and infectious complications. This review aims to make clinicians more aware of these signs in order to better recognize substance abuse disorders and guide effective treatment.

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Skin Lesions in Drug Addicts

Cited by 55 publications

References 2 publications

Dermatopathologic manifestations of intravenous drug use

Dermatopathologic manifestations of intravenous drug use

Puffy Hand Syndrome Revealed by a Severe Staphylococcal Skin Infection

Dermatologic Signs and Symptoms of Substance Abuse

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