Medication Or Toxin Induced Vasculitis Or Skin Necrosis

Risk Factors

  • Levimasole induced vasculitis→ used to cut cocaine
  • Warfarin induced necrosis (at time when initiated)
  • Other drugs that might cause intense vasospasm

Symptoms

  • Vasculitis: acute, painful distal extremities, in particular→ fingers, ears, nose

Physical Exam Findings

  • Decreased cap refill distally w/vasculitis
  • Swelling, pain, eschar, ulcer
  • Distal necrosis for vasculitis