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Letters |6 November 2001

Cocaine-Related Vasculitis Causing Upper-Limb Peripheral Vascular Disease

John A. Spittell Jr., MD; Peter C. Spittell, MD

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Author, Article, and Disclosure Information
  • Mayo Clinic and Mayo Foundation; Rochester, MN 55905 (Spittell, Spittell)
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TO THE EDITOR:
In the patient with upper-limb peripheral vascular disease described by Drs. Kumar and Smith (1), an interesting differential diagnosis is present. The authors found that laboratory studies excluded connective tissue disorders and confirmed their patient's use of cocaine. However, several other causes should have been considered before the occlusive arterial disease in the patient's hands was attributed to “cocaine vasculitis.” First, chronic repetitive blunt trauma to the hands in certain occupations and hobbies can cause palmar and digital occlusive arterial disease; this occurs most often in the dominant hand but can occur in both hands (2)...
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Spittell JA, Spittell PC. Cocaine-Related Vasculitis Causing Upper-Limb Peripheral Vascular Disease. Ann Intern Med. 2001;135:843. doi: 10.7326/0003-4819-135-9-200111060-00023

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Published: Ann Intern Med. 2001;135(9):843.

DOI: 10.7326/0003-4819-135-9-200111060-00023

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2001 American College of Physicians
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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