Acute Pancreatitis as Initial Presentation of Cocaine-Induced Vasculitis: A Case Report

  • Ayorinde Ogunbameru Department of Internal Medicine, Unity Health System. Rochester, NY, USA
  • Mohammed Jandali Department of Internal Medicine, Unity Health System. Rochester, NY, USA
  • Amer Issa Department of Internal Medicine, Unity Health System. Rochester, NY, USA
  • Waleed Quwatli Department of Internal Medicine, Unity Health System. Rochester, NY, USA
  • Timothy Woodlock Department of Internal Medicine, Unity Health System. Rochester, NY, USA
  • Wajid Choudhry Department of Internal Medicine, Unity Health System. Rochester, NY, USA
DOI: https://doi.org/10.6092/1590-8577/2942
Keywords: Pancreatitis, Acute Necrotizing, Pulmonary Embolism

Abstract

Context Levamisole-contaminated cocaine is an increasingly reported cause of vasculitis and immunologic abnormalities in cocaine abusers. The systemic effects of vasculitis are commonly seen in the dermatologic, hematologic and renal systems but rarely the gastrointestinal system. Case report We present an atypical case of cocaine-induced vasculitis presenting initially as an acute pancreatitis and then rapidly progressing to involve multi-organ systems over the next couple of weeks. Conclusion Internists should recognize that acute pancreatitis can present as an atypical and rare initial systemic manifestation of cocaine-induced vasculitis.

Image: Segmental glomerular necrsosis.

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References

Abu-Hilal M, Abu-Hilal M, McPhail MJ, Zeidan B, Bryant T, Bateman A, et al., Acute Pancreatitis as First Presentation of Wegener’s Granulomatosis. Case Report, JOP. J Pancreas 2008; 9(3): 300-304. [PMID: 18469442]

US Department of Justice, National Drug Intelligence Center National Drug Threat Assessment 2010: Impact of Drugs on Society: US Department of Justice, National Drug Intelligence Center Web site. http://www.justice.gov/ndic/pubs38/38661/drugImpact.htm.

Chawla S, Atten MJ, Attar BM. Acute Pancreatitis as a rare initial manifestation of Wegener’s Granulomatosis. A case based literature review, JOP. J Pancreas 2011; 12(2): 167-169. [PMID: 21386646]

Segmental glomerular necrsosis
Published
2015-03-20
How to Cite
OgunbameruA., JandaliM., IssaA., QuwatliW., WoodlockT., & ChoudhryW. (2015). Acute Pancreatitis as Initial Presentation of Cocaine-Induced Vasculitis: A Case Report. JOP. Journal of the Pancreas, 16(2), 192-194. https://doi.org/10.6092/1590-8577/2942
Issue
Vol 16 No 2 (2015): March - p. 99-217
Section
CASE REPORTS

Copyright (c) 2015 Ayorinde Ogunbameru, Mohammed Jandali, Amer Issa, Waleed Quwatli, Timothy Woodlock, Wajid Choudhry

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