Titre :

Chronic trophic disorders in cocaine and heroin injectors: A multicenter retrospective observational descriptive study.

Auteur(s) :

Pruvot, C. [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Carpentier, O. [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Montmureau, A. [Auteur]
Becquart, C. [Auteur]
Centre Hospitalier de Valenciennes [CHV]
Fievet, C. [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Cottencin, Olivier [Auteur]
Lille Neurosciences & Cognition (LilNCog) - U 1172
Staumont-Salle, Delphine [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Mortier, L. [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Drouard, M. [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]

Titre de la revue :

Annales de Dermatologie et de Vénéréologie

Nom court de la revue :

Ann Dermatol Venereol

Numéro :

151

Pagination :

103289

Date de publication :

2024-09

ISSN :

0151-9638

Mot(s)-clé(s) en anglais :

Ulcer
Lymphedema
Cocaine
Heroin
PWID (people who inject drugs)

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Aims To describe the demographic characteristics of heroin and cocaine injectors with chronic injection-related trophic disorders, as well as the clinical and progressive characteristics of these disorders. Methods A ...
Lire la suite >Aims To describe the demographic characteristics of heroin and cocaine injectors with chronic injection-related trophic disorders, as well as the clinical and progressive characteristics of these disorders. Methods A descriptive, observational, multicenter and retrospective study over the last 15 years. Patients were recruited via a call for cases and by consulting the health data warehouse of the university hospital center. Results The population comprised 39 injection drug users, of whom 79.5% were male, with a median age of 41 years. Subjects had numerous co-addictions and 70.5% were infected with hepatitis C virus. Trophic disorders were multiple in some cases: 43.5% of patients had lymphoedema, 87% had ulcers, and 56.5% had injection-related scars. Ulcers were multiple, large, and present for a median of 3 years. They were located on the upper limbs in 32.5% of cases. Ulcers constituted a source of complications in 64.5% of cases and these were infectious in 91% of cases (local, osteoarticular or systemic). During follow-up, 8 patients died and 21.5% of patients requiring ulcer care were lost to follow-up. Conclusions This study showed a high rate of complications, particularly infections, of ulcers in injection drug users. Localization of these ulcers to the upper limbs, although rare in the general population, is relatively frequent in this population. Follow-up is difficult and cooperation between dermatologist and addictologist is essential to improve patient care.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

Université de Lille
Inserm
CHU Lille

Collections :

• Lille Neurosciences & Cognition (LilNCog) - U 1172

Date de dépôt :

2024-09-12T21:05:28Z
2025-01-08T11:02:54Z