Abstract
Drug abuse has been controversially linked to polyarteritis nodosa. A 28-year-old man with a history of drug abuse with inhaled heroin presented with an enigmatic illness consisting of refractory fever, bilateral pleural effusions, migratory polyarthritis, and a leukaemoid reaction. An abdominal angiography confirmed the diagnosis of polyarteritis nodosa, and treatment with both prednisone and cyclophosphamide resulted in significant clinical and laboratory improvement.
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- Citron B. P., Halpern M., McCarron M., Lundberg G. D., McCormick R., Pincus I. J., Tatter D., Haverback B. J. Necrotizing angiitis associated with drug abuse. N Engl J Med. 1970 Nov 5;283(19):1003–1011. doi: 10.1056/NEJM197011052831901. [DOI] [PubMed] [Google Scholar]
- Conn D. L. Polyarteritis. Rheum Dis Clin North Am. 1990 May;16(2):341–362. [PubMed] [Google Scholar]
- Garg S. K., Amorosi E. L., Karpatkin S. Use of the megathrombocyte as an index of megakaryocyte number. N Engl J Med. 1971 Jan 7;284(1):11–17. doi: 10.1056/NEJM197101072840103. [DOI] [PubMed] [Google Scholar]
- Kaye B. R., Fainstat M. Cerebral vasculitis associated with cocaine abuse. JAMA. 1987 Oct 16;258(15):2104–2106. [PubMed] [Google Scholar]
- King J., Richards M., Tress B. Cerebral arteritis associated with heroin abuse. Med J Aust. 1978 Oct 21;2(9):444–445. doi: 10.5694/j.1326-5377.1978.tb76855.x. [DOI] [PubMed] [Google Scholar]
- Nahas G. G. Cannabis arteritis. N Engl J Med. 1971 Jan 14;284(2):113–113. doi: 10.1056/NEJM197101142840225. [DOI] [PubMed] [Google Scholar]

