Title :

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

Author(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]

Journal title :

Annales de Dermatologie et de Vénéréologie

Abbreviated title :

Ann Dermatol Venereol

Volume number :

151

Pages :

103289

Publication date :

2024-09

ISSN :

0151-9638

English keyword(s) :

Ulcer
Lymphedema
Cocaine
Heroin
PWID (people who inject drugs)

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [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 ...
Show more >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.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
Inserm
CHU Lille

Collections :

• Lille Neurosciences & Cognition (LilNCog) - U 1172

Submission date :

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