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10.12659/AJCR.903917 http://scihub22266oqcxt.onion/10.12659/AJCR.903917 C5471927!5471927!28592788     free     free     free Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Am+J+Case+Rep 2017 ; 18 (ä): 641-3 Nephropedia Template TP {{tp|p=28592788|t=2017. Levamisole-Induced Leukocytoclastic Vasculitis with Negative Serology in a Cocaine User |pdf=|usr=}}{{28592788}} gab.com Text Levamisole-Induced Leukocytoclastic Vasculitis with Negative Serology in a Cocaine User JO: Am J Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=28592788 #FOAvip Patient: Male, 58Final Diagnosis: Levamisole induced leukocytoclastic vasculitisSymptoms: Arthralgia ? skin rashMedication: ?Clinical Procedure: Skin biopsySpecialty: RheumatologyObjective:: Diagnostic/therapeutic accident Background:: Levamisole is a common adulterant of cocaine. It can cause agranulocytosis and cutaneous vasculitis that can possibly lead to cutaneous necrosis.In all reported cases of levamisole-induced vasculitis, it has been described as a clinical syndrome characterized by a constellation of typical clinical features and a positive serum serology for ANCA levels, especially very high-titer p-ANCA levels, in the background of cocaine abuse. However, patients may have a negative serology and here, we present the first such case. Case Report:: A 58-year-old African American man with a history of polysubstance abuse, 4 days after last cocaine use, presented with sudden onset of painful pruritic rash and polyarthralgias. He was found to have normal vital signs, with bilateral tender knees and erythematous-purplish maculopapular lesions involving the abdomen and the left thigh. Laboratory work-up was significant for elevated CRP, negative c-ANCA, p-ANCA ANA, and RA levels, and a positive urine toxicology for cocaine.Urine analysis by high-performance liquid chromatography was positive for levamisole. Ultimately, a final diagnosis was made by skin biopsy, which revealed findings suggestive of leukocytoclastic vasculitis. Conclusions:: Cutaneous leukocytoclastic vasculitis can be caused by levamisole, which is used as an adulterant in cocaine. Most cases are associated with positive ANCA levels; however, a negative serology is also a possibility. Twit Text FOAVip Levamisole-Induced Leukocytoclastic Vasculitis with Negative Serology in a Cocaine User ????Am J Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=28592788 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=28592788 #FOAvip English Wikipedia <ref>{{Cite pmid|28592788}}</ref> Levamisole-Induced Leukocytoclastic Vasculitis with Negative Serology in a Cocaine User #MMPMID28592788 Salehi M; Morgan MP; Gabriel A Am J Case Rep 2017[]; 18 (ä): 641-3 PMID28592788show ga Patient: Male, 58Final Diagnosis: Levamisole induced leukocytoclastic vasculitisSymptoms: Arthralgia ? skin rashMedication: ?Clinical Procedure: Skin biopsySpecialty: RheumatologyObjective:: Diagnostic/therapeutic accident Background:: Levamisole is a common adulterant of cocaine. It can cause agranulocytosis and cutaneous vasculitis that can possibly lead to cutaneous necrosis.In all reported cases of levamisole-induced vasculitis, it has been described as a clinical syndrome characterized by a constellation of typical clinical features and a positive serum serology for ANCA levels, especially very high-titer p-ANCA levels, in the background of cocaine abuse. However, patients may have a negative serology and here, we present the first such case. Case Report:: A 58-year-old African American man with a history of polysubstance abuse, 4 days after last cocaine use, presented with sudden onset of painful pruritic rash and polyarthralgias. He was found to have normal vital signs, with bilateral tender knees and erythematous-purplish maculopapular lesions involving the abdomen and the left thigh. Laboratory work-up was significant for elevated CRP, negative c-ANCA, p-ANCA ANA, and RA levels, and a positive urine toxicology for cocaine.Urine analysis by high-performance liquid chromatography was positive for levamisole. Ultimately, a final diagnosis was made by skin biopsy, which revealed findings suggestive of leukocytoclastic vasculitis. Conclusions:: Cutaneous leukocytoclastic vasculitis can be caused by levamisole, which is used as an adulterant in cocaine. Most cases are associated with positive ANCA levels; however, a negative serology is also a possibility. äLevamisole-Induced Leukocytoclastic Vasculitis with Negative Serology (epmc).pdf DeepDyve Pubget Overpricing