TY - JOUR T1 - Rheumatic manifestations associated with cocaine addiction JO - Revista Colombiana de Reumatología (English Edition) T2 - AU - Roverano,Susana AU - Calvo,Romina AU - Ortiz,Alberto AU - Paira,Sergio SN - 24444405 M3 - 10.1016/j.rcreue.2019.01.013 DO - 10.1016/j.rcreue.2019.01.013 UR - https://www.elsevier.es/en-revista-revista-colombiana-reumatologia-english-edition--474-articulo-rheumatic-manifestations-associated-with-cocaine-S2444440520300844 AB - Cocaine use is associated with several rheumatic syndromes. A series of cases is presented of 10 patients (7 male and 3 female), age at onset: 19–38 years-old. They consulted due to a variety of symptoms: fever, arthritis, swollen hands, stroke, fetal losses, arterial hypertension, alveolar hemorrhage, leucocytoclastic vasculitis, genital bleeding, among others. Half of them showed positive ANA and Ro antibodies, lymphopenia and positive P-ANCA. Treatments with steroids in bolus, cyclophosphamide and rituximab were used, with a good response. This series highlights clinical manifestations at onset that can mimic primary rheumatic diseases. Rheumatologists should consider cocaine use in the differential diagnoses of vasculitis and pseudovasculitis syndromes. ER -