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- W2038149266 abstract "A 40-year-old woman presented to the Emergency Department for evaluation of nose and bilateral ear rash. The rash had begun approximately 1 week before presentation. She denied medical history or allergies and was taking no medications. She initially denied any recent substance abuse, then later admitted to a history of and continued use of marijuana and cocaine. Physical examination revealed an otherwise healthyappearing female with normal vital signs. The patient had a nontender, stellate, purpuric, macular rash with mild surrounding erythema involving the lobules and helices of both ears (Figures 1–4). A milder form of the same lesion appeared on both sidewalls of the nose superior to the ala (Figure 5). Internal ear examinations were normal, and a focal area of anterior cartilaginous bleeding was noted in right nare. An examination of the rest of her body revealed no other skin abnormalities. Her urine drug screen returned positive for tetrahydrocannabinol and cocaine. A urine specimen was sent for levamisole testing at an outside laboratory and returned positive at a later date with a concentration of 1.8mg/mL,with 0.10mg/mL used as the positive reference value. White blood cell and neutrophil counts were within normal ranges. Perinuclear anti-neutrophil cytoplasmic antibody (ANCA) levels returned positive after discharge with titer >1280, cytoplasmic ANCAwas negative." @default.
- W2038149266 created "2016-06-24" @default.
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- W2038149266 date "2013-08-01" @default.
- W2038149266 modified "2023-09-27" @default.
- W2038149266 title "Rash from Levamisole Vasculopathy in a Cocaine Abuser" @default.
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- W2038149266 doi "https://doi.org/10.1016/j.jemermed.2013.03.041" @default.
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