著者
佐久間 康徳 佃 守
出版者
Japan Rhinologic Society
雑誌
日本鼻科学会会誌 (ISSN:09109153)
巻号頁・発行日
vol.47, no.4, pp.331-335, 2008 (Released:2009-11-04)
参考文献数
10

Necrotic lesions in the nasal cavity are induced by a variety of diseases that cause necrosis of the mucosa, bone, and cartilage in the nasal cavity, and Wegener's granulomatosis and sinonasal natural killer cell or T-cell lymphoma must be included in the differential diagnosis. Necrotic lesions induced by cocaine inhalation, on the other hand, are very rare in Japan, and cocaine inhalation also needs to be included in the differential diagnosis.We report the case of a 33-year-old male who complained of nasal pain and necrosis in the nasal cavity. Although we initially suspected Wegener's granulomatosis based on the endoscopic findings and results of laboratory tests, especially based on a slight elevation of the PR3-ANCA value, we did not detect any giant cell granulomas or necrotizing vasculitis, which are histological characteristics of Wegener's granulomatosis in repeatedly biopsyed specimens. Systemic steroid therapy was started based on suspicion of localized Wegener's granulomatosis, but was ineffective. Two months after the start of treatment, the patient failed to return for follow up. He was later arrested for the illegal possession of cocaine, and we realized that the necrotic lesions were caused by cocaine inhalation.Necrosis induced by cocaine inhalation should be included the differential diagnosis of necrotic nasal lesions.

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スーパー覚せい剤の患者さん来る大阪某地域のクリニックで外勤してたけどみたことなくて、日本でもあるんかなあと思って調べたら症例報告あった() https://t.co/CInQ9gAFC7
ホンマや。 コカインによる鼻中隔の壊死性病変。 ===== 薬物(コカイン)による鼻腔壊死性病変の1症例 佐久間康徳, 佃守 日 鼻 誌 47!:31~35,208 https://t.co/xauB1qZbsf
@hiyo_unnatural 国内でも ときどきみますよ。 日本語の症例報告もありますね。 https://t.co/Bs6OB5ptax CTで鼻中隔なくなってます。 https://t.co/rYITZ1Wm4K
@ohagideath @Kiyo970Kiyo97 薬物(コカイン)による鼻腔壊死性病変の1症例 https://t.co/HJPDYEz5Pi 去年「遠志(オンジ)」という生薬(しょうやく)が1種類だけ入っている中高年向けの… https://t.co/7xBygSDqqE
@JapaneseDrugLab 薬物(コカイン)による鼻腔壊死性病変の1症例 https://t.co/HJPDYEhuXK ペンタゾシンを執拗に希望wwwww

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