title: Recurrent Thrombotic Vasculopathy in a Former Cocaine User.
abstract: We report a case of a 35-year-old female who presented to the emergency room (ER) complaining of a pruritic rash involving multiple areas of the body. She had a significant history of cocaine use in the past. She had first developed a similar rash in 2013 when she was diagnosed with cocaine-induced vasculitis. Her urine toxicology had been positive for cocaine in the past until July 2013. She was incarcerated and attended a drug rehabilitation program after which she quit cocaine use, which was consistent with negative urine toxicology on subsequent admissions. Further workup did not reveal any other, autoimmune or infectious, etiology of this clinical presentation. The patient underwent biopsy of the skin lesion that was consistent with thrombotic vasculopathy likely secondary to levamisole.
authors.affiliation: Bronx Lebanon Hospital Center, Department of Medicine, 1650 Selwyn Avenue, Suite No. 10C, Bronx, NY 10457, USA.
authors.forename: Preeti
authors.initials: P
authors.lastname: Jadhav
authors.affiliation: Bronx Lebanon Hospital Center, Department of Medicine, 1650 Selwyn Avenue, Suite No. 10C, Bronx, NY 10457, USA.
authors.forename: Hassan
authors.initials: H
authors.lastname: Tariq
authors.affiliation: Bronx Lebanon Hospital Center, Department of Pathology, 1650 Grand Concourse, Bronx, NY 10457, USA.
authors.forename: Masooma
authors.initials: M
authors.lastname: Niazi
authors.affiliation: Bronx Lebanon Hospital Center, Department of Medicine, 1650 Selwyn Avenue, Suite No. 10C, Bronx, NY 10457, USA.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Franchin