An unusual case of livedoid and necrotic lesions in a drug addict.
Skin biopsies were performed in a patient with livedoid and necrotic lesions of the forearm. Periodic acid-Schiff-stained and birefringent Maltese cross-patterned foreign bodies were observed in capillary vessels. It was consistent with the diagnosis of intra-arterial injections of a substance containing corn starch. This finding confirmed the clinical diagnosis of intra-arterial injection of solubilized tablets of buprenorphine. This case constitutes a rare clinical presentation of foreign bodies injections in a drug addict.
Pierre-Alexandre
Just
J
Service d'Anatomie et de Cytologie Pathologiques, Groupe Hospitalier Pitié-Salpêtrière, 47-83 Boulevard de l'Hôpital, 75651 Paris Cedex 13, France.
François
Le Pelletier
le P
Abdellah
Sbai
S
Karim
Taleb
T
Christian
De Gennes
de G
Frédérique
Capron
C
D000328:Adult; D001706:Biopsy; D002047:Buprenorphine / Q000008:administration & dosage; D005547:Foreign Bodies / Q000473:pathology*; D006801:Humans; D007269:Injections, Intra-Arterial / Q000009:adverse effects; D008297:Male; D009292:Narcotic Antagonists / Q000008:administration & dosage; D009336:Necrosis / Q000473:pathology; D012867:Skin / Q000098:blood supply / Q000473:pathology*; D017445:Skin Diseases, Vascular / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D019966:Substance-Related Disorders / Q000150:complications* / Q000473:pathology
D009292:Narcotic Antagonists; D002047:Buprenorphine