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Levamisole Contaminated Cocaine Induced Cutaneous Vasculitis Syndrome

Author Affiliation Kellee T. James, PharmD  University of California San Francisco, Department of Clinical Pharmacy, San Francisco, California Alissa Detz, MD  Robert Wood Johnson Foundation Clinical Scholar, University of California Los Angeles, Department of Medicine, Los Angeles, California Zlatan Coralic, PharmD  University of California San Francisco, Department of Clinical Pharmacy, San Francisco, CaliforniaUniversity of California […]

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Levamisole-adulterated Cocaine Induced Vasculitis with Skin Ulcerations

A 40-year-old man with Hepatitis C and a history of cocaine abuse presented with multiple stages of painful rashes on his extremities and ears. On examination, the patient had several areas of purpuric macules and retiform purpura to his legs and ears, as well as large ulcerations with erythematous borders on bilateral lower extremities

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WestJEM
ISSN: 1936-900X
e-ISSN: 1936-9018

CPC-EM
ISSN: 2474-252X

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Emergency Medicine is a specialty which closely reflects societal challenges and consequences of public policy decisions. The emergency department specifically deals with social injustice, health and economic disparities, violence, substance abuse, and disaster preparedness and response. This journal focuses on how emergency care affects the health of the community and population, and conversely, how these societal challenges affect the composition of the patient population who seek care in the emergency department. The development of better systems to provide emergency care, including technology solutions, is critical to enhancing population health.