The Drug-Induced Respiratory Disease Website
Philippe Camus, M.D.
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Path: Skin vasculopathy/vasculitis
Usually considered a complication of levamisole, a common adulterant in cocaine
Last update :
Drug and radiation history
Drug singularity - Correct identification of the drug
Consistent timing of exposure v. onset of symptoms
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
Careful exlusion of another cause
Remission of symptoms with removal of drug
Recurrence with rechallenge (rarely advisable)
More detailed checklist
See also under
Abused drugs/substances (illicit-, street drugs - IV/inhaled)
Talc (inhaled, sniffed, i.v., intrapleural)
Levamisole-induced leukocytoclastic vasculitis and neutropenia in a patient with cocaine use: an extensive case with necrosis of skin, soft tissue, and cartilage.
Cocaine induced vasculitis: have we found a culprit?