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Case Reports in Dermatological Medicine
Volume 2015, Article ID 763613, 3 pages
Case Report

Recurrent Thrombotic Vasculopathy in a Former Cocaine User

1Bronx Lebanon Hospital Center, Department of Medicine, 1650 Selwyn Avenue, Suite No. 10C, Bronx, NY 10457, USA
2Bronx Lebanon Hospital Center, Department of Pathology, 1650 Grand Concourse, Bronx, NY 10457, USA

Received 2 September 2015; Revised 26 November 2015; Accepted 2 December 2015

Academic Editor: Thomas Berger

Copyright © 2015 Preeti Jadhav et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.