Yellow and black-stained fingers in a patient with headache
Fred Bernardes Filho, Frederico Macedo da Rocha
The Pan African Medical Journal. 2017;28:318. doi:10.11604/pamj.2017.28.318.14333

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Yellow and black-stained fingers in a patient with headache

Cite this: The Pan African Medical Journal. 2017;28:318. doi:10.11604/pamj.2017.28.318.14333

Received: 06/11/2017 - Accepted: 08/11/2017 - Published: 27/12/2017

Key words: Cocaine-related disorders, crack cocaine, drug toxicity, hand dermatoses

© Fred Bernardes Filho et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/28/318/full

Corresponding author: Fred Bernardes Filho, Dermatology Division, Department of Medical Clinics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil (f9filho@gmail.com)


Yellow and black-stained fingers in a patient with headache

Fred Bernardes Filho1,&, Frederico Macedo da Rocha2

 

1Dermatology Division, Department of Medical Clinics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil, 2Department of Nefrology, VHP Saúde, Ribeirão Preto, São Paulo, Brazil

 

 

&Corresponding author
Fred Bernardes Filho, Dermatology Division, Department of Medical Clinics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil

 

 

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A 39-year-old male patient was admitted at the emergency room with headache, dry cough, and dyspnea three days ago. Dermatological examination revealed yellow and black-stained fingers in the first two fingertips of both hands.There were also a middle phalanx thermal burn with an ulcer on the third left finger. The patient did not have mental disorder. After the patient had been asked about the presence of the signs of thermal burn injuries, he reported having burned the digits by holding the pipe used to smoke crack. The diagnosis of fingertip thermal burn in crack cocaine user was made. As a powerful stimulant, crack use can elicit an extreme euphoria. As a smoked form of cocaine, crack cocaine use results in near immediate effects because the drug is readily absorbed from the lungs into the bloodstream. Binge use of crack can result in a psychotic, over-stimulated state accompanied by paranoia and compulsive behavior. At the end of the binge, the person will normally crash, suffering agitation, depression and intense cravings. A person who has been smoking crack often has burned fingers or lips from holding onto the pipe while it heats up. Emergency health professionals should be trained to identify common dermatological signs of crack use because through them can be possible to suspect the diagnosis even if the patient omits his/her dependence. It must be emphasized that addiction is progressive and can result in disability or premature death.

 

 

Figure 1: yellow and black-stained fingers with middle phalanx thermal burn and an ulcer on the third left finger

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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Volume 29 (January - April 2018)

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