Biomaterial Database

Multiple mucocutaneous ulcers associated with cocaine-induced midline destructive lesions. 2016

Brittany Blaise, and Lucinda Buescher, and Morgan L Wilson

Cocaine-induced midline destructive lesions (CIMDL) occur in a small subset of cocaine users, who clinically present with inflammation and necrosis of facial midline structures such as the palate, nasal septum, turbinates, and sinuses. We present a patient with CIMDL occurring concomitantly with ulcers on the cheek and upper trunk. Multiple biopsy specimens from the cutaneous and mucosal lesions consistently showed a dense dermal/submucosal infiltrate of neutrophils and plasma cells, without vasculitis or thrombosis. The ulcers resolved following cessation of cocaine use.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012883	Skin Ulcer	An ULCER of the skin and underlying tissues.	Skin Ulcers,Ulcer, Skin,Ulcers, Skin
D061270	Nasal Septal Perforation	An opening or hole in the NASAL SEPTUM that is caused by TRAUMA, injury, drug use, or pathological process.	Nasal Septum Perforation,Nasal Septal Perforations,Nasal Septum Perforations,Perforation, Nasal Septal,Perforation, Nasal Septum,Perforations, Nasal Septal,Perforations, Nasal Septum,Septal Perforation, Nasal,Septal Perforations, Nasal,Septum Perforation, Nasal,Septum Perforations, Nasal
D019226	Oral Ulcer	A loss of mucous substance of the mouth showing local excavation of the surface, resulting from the sloughing of inflammatory necrotic tissue. It is the result of a variety of causes, e.g., denture irritation, aphthous stomatitis (STOMATITIS, APHTHOUS); NOMA; necrotizing gingivitis (GINGIVITIS, NECROTIZING ULCERATIVE); TOOTHBRUSHING; and various irritants. (From Jablonski, Dictionary of Dentistry, 1992, p842)	Mouth Ulcer,Mouth Ulcers,Oral Ulcers,Ulcer, Mouth,Ulcer, Oral,Ulcers, Mouth,Ulcers, Oral
D019268	Antibodies, Antineutrophil Cytoplasmic	Autoantibodies directed against cytoplasmic constituents of POLYMORPHONUCLEAR LEUKOCYTES and/or MONOCYTES. They are used as specific markers for GRANULOMATOSIS WITH POLYANGIITIS and other diseases, though their pathophysiological role is not clear. ANCA are routinely detected by indirect immunofluorescence with three different patterns: c-ANCA (cytoplasmic), p-ANCA (perinuclear), and atypical ANCA.	ANCA,Anti-Neutrophil Cytoplasmic Autoantibodies,Anti-Neutrophil Cytoplasmic Autoantibody,Antineutrophil Cytoplasmic Antibodies,Neutrophil Cytoplasmic Autoantibodies,Neutrophil Cytoplasmic Autoantibody,c-ANCA,p-ANCA,Anti-Neutrophil Cytoplasmic Antibodies,Anti-Neutrophil Cytoplasmic Antibody,Antineutrophil Cytoplasmic Antibody,Anti Neutrophil Cytoplasmic Antibodies,Anti Neutrophil Cytoplasmic Antibody,Anti Neutrophil Cytoplasmic Autoantibodies,Anti Neutrophil Cytoplasmic Autoantibody,Antibody, Anti-Neutrophil Cytoplasmic,Antibody, Antineutrophil Cytoplasmic,Autoantibody, Anti-Neutrophil Cytoplasmic,Autoantibody, Neutrophil Cytoplasmic,Cytoplasmic Antibody, Anti-Neutrophil,Cytoplasmic Antibody, Antineutrophil,Cytoplasmic Autoantibody, Anti-Neutrophil,Cytoplasmic Autoantibody, Neutrophil,c ANCA,p ANCA
D019970	Cocaine-Related Disorders	Disorders related or resulting from use of cocaine.	Cocaine Abuse,Cocaine Addiction,Cocaine Dependence,Abuse, Cocaine,Addiction, Cocaine,Cocaine Related Disorders,Cocaine-Related Disorder,Dependence, Cocaine,Dependences, Cocaine,Disorder, Cocaine-Related,Disorders, Cocaine-Related
D021362	Palate, Hard	The anteriorly located rigid section of the PALATE.	Hard Palate,Palatine Bone,Bone, Palatine,Hard Palates,Palates, Hard