Author(s): Gulati S, Donato AA, Gulati S, Donato AA, Gulati S, Donato AA, Gulati S, Donato AA
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Abstract A 2010 US report recently detected the presence of levamisole in greater than 77 \% of seized cocaine samples. A syndrome of retiform purpura, often involving ears and flanks, with vasculopathy or vasculitis on biopsy, associated with anti-nuclear cytoplasmic antibodies as well as antiphospholipid antibodies, previously associated with therapeutic use of levamisole has now re-emerged, and is associated with cocaine adulterated with levamisole. Patients with this unusual constellation of signs and laboratory findings should be questioned about exposure to cocaine.
This article was published in J Thromb Thrombolysis
and referenced in Journal of Arthritis