Resumen

ROVERANO, Susana; CALVO, Romina; ORTIZ, Alberto  y  PAIRA, Sergio. Rheumatic manifestations associated with cocaine addiction. Rev.Colomb.Reumatol. [online]. 2020, vol.27, n.4, pp.286-290.  Epub 15-Ago-2021. ISSN 0121-8123.  https://doi.org/10.1016/j.rcreu.2019.01.006.

Cocaine use is associated with several rheumatic syndromes. A series of cases is presented of 10 patients (7 male and 3 female), age at onset: 19-38 years-old. They consulted due to a variety of symptoms: fever, arthritis, swollen hands, stroke, fetal losses, arterial hypertension, alveolar hemorrhage, leucocytoclastic vasculitis, genital bleeding, among others. Half of them showed positive ANA and Ro antibodies, lymphopenia and positive P-ANCA. Treatments with steroids in bolus, cyclophosphamide and rituximab were used, with a good response. This series highlights clinical manifestations at onset that can mimic primary rheumatic diseases. Rheumatologists should consider cocaine use in the differential diagnoses of vasculitis and pseudovasculitis syndromes.

Palabras clave : Vasculitis; Cocaine; Purpura.

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