You are here

Article Text

Article menu
Download PDFPDF
Images in emergency medicine
Pain in the pinnae: a sign of levamisole vasculopathy
  1. Barry Ladizinski1,
  2. Kachiu C Lee2
  1. 1Department of Dermatology, Duke University Medical Center, Durham, North Carolina, USA
  2. 2Department of Dermatology, Brown University, Providence, Rhode Island, USA
  1. Correspondence to Barry Ladizinski, Department of Dermatology, Duke University Medical Center, Box 2822, Durham, NC 27710, USA; barryladizinski{at}gmail.com
View Full Text

http://dx.doi.org/10.1136/emermed-2012-202203

Statistics from Altmetric.com

    A 61-year-old man presented with fatigue, arthralgias and a tender rash on his ears in the setting of recent cocaine use. Physical examination revealed purpuric dark purple patches with haemorrhagic bullae on the bilateral helical rims (figures 1 and 2). Laboratory investigation was significant for a serum sodium of 130 mmol/l (normal range, 135–145) and positive perinuclear antineutrophil cytoplasmic …

    View Full Text

    Footnotes

    • Contributors KCL and BL contributed equally to the conception, design, drafting and revision of the article and approved the final version of the article to be published. BL will be responsible for the overall content as guarantor.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Copyright information:

    Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions