{"title":"急性胰腺炎最初表现为可卡因引起的血管炎:1例报告。","authors":"Ayorinde Ogunbameru, Mohammed Jandali, Amer Issa, Waleed Quwatli, Timothy Woodlock, Wajid Choudhry","doi":"10.6092/1590-8577/2942","DOIUrl":null,"url":null,"abstract":"<p><strong>Context: </strong>Levamisole-contaminated cocaine is an increasingly reported cause of vasculitis and immunologic abnormalities in cocaine abusers. The systemic effects of vasculitis are commonly seen in the dermatologic, hematologic and renal systems but rarely the gastrointestinal system.</p><p><strong>Case report: </strong>We present an atypical case of cocaine-induced vasculitis presenting initially as an acute pancreatitis and then rapidly progressing to involve multi-organ systems over the next couple of weeks.</p><p><strong>Conclusion: </strong>Internists should recognize that acute pancreatitis can present as an atypical and rare initial systemic manifestation of cocaine-induced vasculitis.</p>","PeriodicalId":47280,"journal":{"name":"Journal of the Pancreas","volume":"16 2","pages":"192-4"},"PeriodicalIF":0.1000,"publicationDate":"2015-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"10","resultStr":"{\"title\":\"Acute pancreatitis as initial presentation of cocaine-induced vasculitis: a case report.\",\"authors\":\"Ayorinde Ogunbameru, Mohammed Jandali, Amer Issa, Waleed Quwatli, Timothy Woodlock, Wajid Choudhry\",\"doi\":\"10.6092/1590-8577/2942\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Context: </strong>Levamisole-contaminated cocaine is an increasingly reported cause of vasculitis and immunologic abnormalities in cocaine abusers. The systemic effects of vasculitis are commonly seen in the dermatologic, hematologic and renal systems but rarely the gastrointestinal system.</p><p><strong>Case report: </strong>We present an atypical case of cocaine-induced vasculitis presenting initially as an acute pancreatitis and then rapidly progressing to involve multi-organ systems over the next couple of weeks.</p><p><strong>Conclusion: </strong>Internists should recognize that acute pancreatitis can present as an atypical and rare initial systemic manifestation of cocaine-induced vasculitis.</p>\",\"PeriodicalId\":47280,\"journal\":{\"name\":\"Journal of the Pancreas\",\"volume\":\"16 2\",\"pages\":\"192-4\"},\"PeriodicalIF\":0.1000,\"publicationDate\":\"2015-03-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"10\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the Pancreas\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.6092/1590-8577/2942\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"GASTROENTEROLOGY & HEPATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Pancreas","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.6092/1590-8577/2942","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
Acute pancreatitis as initial presentation of cocaine-induced vasculitis: a case report.
Context: Levamisole-contaminated cocaine is an increasingly reported cause of vasculitis and immunologic abnormalities in cocaine abusers. The systemic effects of vasculitis are commonly seen in the dermatologic, hematologic and renal systems but rarely the gastrointestinal system.
Case report: We present an atypical case of cocaine-induced vasculitis presenting initially as an acute pancreatitis and then rapidly progressing to involve multi-organ systems over the next couple of weeks.
Conclusion: Internists should recognize that acute pancreatitis can present as an atypical and rare initial systemic manifestation of cocaine-induced vasculitis.
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