Crushed it: Elucidation of systemic vasculitis caused by injected hydromorphone tablets via skin biopsy

Case study
par
Rolader, Robin et al

Date de publication

2019

Géographie

USA

Langue de la ressource

English

Texte disponible en version intégrale

Oui

Open Access / OK to Reproduce

Non

Évalué par des pairs

Yes

L’objectif

Describes a case of medical complications from injected hydromorphone tablets

Constatations/points à retenir

The increase of the opioid crisis has brought about increased regulations and decreased prescriptions for opioids in the United States.10 There is a national shortage of intravenous hydromorphone that may cause already addicted patients to seek other means of narcotic administration, including injection of crushed hydromorphone tablets intravenously. In patients who present with necrotizing vasculitis and unusual serologies, a thorough drug use history is warranted, and skin biopsy with polarized light microscopy may elucidate pathomechanisms of a multisystem process.

La conception ou méthodologie de recherche

Case study

Mots clés

About prescribers
Injecting drugs