title: Ischemic injury of the hand from intra-arterial propylhexedrine injection.
abstract: A number of adverse consequences can result in the upper limb from parenteral drug abuse. Propylhexedrine, a drug similar to amphetamine, is easily obtained and causes severe injury to the limb when injected intra-arterially. This report describes an inadvertent case of intra-arterial propylhexedrine injection into the radial artery, the natural course of which resulted in digital amputations. The cause and diagnosis of this injury is discussed, and a protocol for treatment is presented.
mesh_terms: D000328:Adult; D000671:Amputation, Surgical; D005385:Fingers / Q000473:pathology / Q000601:surgery; D006225:Hand / Q000098:blood supply*; D006801:Humans; D007269:Injections, Intra-Arterial; D007511:Ischemia / Q000139:chemically induced* / Q000601:surgery; D008297:Male; D009336:Necrosis / Q000139:chemically induced; D011437:Propylamines / Q000008:administration & dosage / Q000009:adverse effects*; D019966:Substance-Related Disorders / Q000150:complications; D013933:Thumb / Q000473:pathology / Q000601:surgery
chemical_list: D011437:Propylamines