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Cocaine-induced Churg-Strauss vasculitis

European Respiratory JournalPublished 1 January 1996Open access
Ramón Orriols, Xavier Muñoz, J.M. Escribano Ferrer, P. Huget, Ferrán Morell
Citations86
SJR quartileQ1
SJR score4.50
SNIP3.47
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TL;DR

A freebase cocaine-smoking woman developed relapsing fever, bronchoconstriction, arthralgias and weight loss, and it is suggested that Churg-Strauss vasculitis may be a complication of smokingfreebase cocaine.

Abstract

A freebase cocaine-smoking woman developed relapsing fever, bronchoconstriction, arthralgias and weight loss. Pulmonary infiltrates, arthritis, microhaematuria, pruriginous skin rash and mononeuritis multiplex were later added to the clinical picture. Both skin and muscle biopsies showed eosinophilic angiitis. Improvement or worsening of her clinical picture repeatedly coincided with avoidance or use of smoked cocaine, respectively. We suggest that Churg-Strauss vasculitis may be a complication of smoking freebase cocaine.

Keywords

Medicine