25846 Broadening the spectrum of cocaine induced neutrophilic dermatoses

Abstract

A 46-year-old Caucasian female with a medical history of substance use disorder (cocaine), rheumatoid arthritis, and chronic obstructive pulmonary disease presented from an outside hospital with a two week history of painful, hemorrhagic bullae and plaques first noted on her hands and feet which then spread to her trunk over the following week. She also noted painful tongue, lip, and labial lesions as well. Given the lesional morphology in the setting of ongoing cocaine use, dermatology was consulted due to concern of levamisole-induced vasculitis.