[Complications of cocaine addiction].
Addiction is a chronic relapsing disorder characterized by repetitive and compulsive drug-seeking behavior and drug abuse despite negative health or social consequences. Cocaine addiction is a significant worldwide public health problem, which has somatic, psychological, psychiatric, socio-economic and judicial complications. Some of the most frequent complications are cardiovascular effects (acute coronary syndrome, cardiac arrhythmias, increased blood pressure); respiratory effects (fibrosis, interstitial pneumonitis, pulmonary hypertension, alveolar haemorrhage, asthma exacerbation; emphysema), neurological effects (strokes, aneurysms, seizures, headaches); risk for contracting HIV/AIDS, hepatitis B and C, sexual transmitted disease and otolaryngologic effects. Other complications are not discussed here. The vast majority of studies indicate that there are cognitive deficits induced by cocaine addiction. Attention, visual and working memories, executive functioning are affected in cocaine users. Psychiatric complications found in clinical practice are major depressive disorders, cocaine-induced paranoia, cocaine-induced compulsive foraging and panic attacks.
Karila
Laurent
L
Clinique Montevideo, 92100 Boulogne-Billancourt. laurent.karila@pbr.aphp.fr
Lowenstein
William
W
Coscas
Sarah
S
Benyamina
Amine
A
Reynaud
Michel
M
D002318:Cardiovascular Diseases / Q000209:etiology; D019970:Cocaine-Related Disorders / Q000150:complications*; D003072:Cognition Disorders / Q000209:etiology; D003141:Communicable Diseases / Q000209:etiology; D006801:Humans; D008171:Lung Diseases / Q000209:etiology; D001523:Mental Disorders / Q000209:etiology; D009422:Nervous System Diseases / Q000209:etiology; D009668:Nose Diseases / Q000209:etiology