Abstract

FAKIH, Ibrahim et al. Bilateral auricular necrosis secondary to levamisole-adulterated cocaine. Cir. plást. iberolatinoam. [online]. 2022, vol.48, n.1, pp.93-96.  Epub May 02, 2022. ISSN 1989-2055.  https://dx.doi.org/10.4321/s0376-78922022000100011.

Cocaine is one of the most consumed ilegal drugs in Europe, with Spain heading the list. The recent appearance of levamisol-adulterated cocaine has led to new cases of severe neutropenia and necrotizing vasculitis among consumers.

We report a case of a patient with bilateral auricular necrosis after levamisole-adulterated cocaine.

Adulteration of cocaine with levamisole can lead to inmunological vasculitis-like response causing irreversible skin nerosis if continuosly consumed. Aspirin and corticotherapy treatment are still controversial.

Although skin necrosis secondary to levamisole-adulterated cocaine is still unusual, diagnosis and early treatment of this kind of entity is crucial.

Keywords : Levamisole; Cocacine; Auricular necrosis.

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