Acute skin and hair symptoms followed by severe, delayed eye complications in subjects using the synthetic opioid MT-45
| Autor: | Anders Helander, Maria Bradley, Lars Norlén, Jan Lapins, A Hasselblad, Matilda Bäckberg, I Vassilaki |
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| Rok vydání: | 2016 |
| Předmět: |
Drug
medicine.medical_specialty Recreational Drug business.industry media_common.quotation_subject 010401 analytical chemistry Folliculitis Dermatology Recreational drug use medicine.disease 01 natural sciences 0104 chemical sciences MT-45 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Hair loss Anesthesia medicine Leukonychia business Adverse effect media_common medicine.drug |
| Zdroj: | British Journal of Dermatology. 176:1021-1027 |
| ISSN: | 0007-0963 |
| DOI: | 10.1111/bjd.15174 |
| Popis: | Background The introduction of unclassified new psychoactive substances (NPS) on the recreational drugs market through open online sale ('legal highs' or 'Internet drugs') continues unabated and represents a growing health hazard. The use of NPS has resulted in numerous, severe, adverse events and fatalities, due to unintended overdose or unknown toxic side-effects. Objectives To try to find a possible common underlying cause for the skin-hair-eye symptoms complex observed in three men. Methods From late 2013 to mid-2014, three Swedish men aged 23-34 years with a history of recreational drug use independently presented with similar and very remarkable clinical signs, requiring extensive examination and prolonged treatment. Results Common clinical signs included hair depigmentation, hair loss, widespread folliculitis and dermatitis, painful intertriginous dermatitis, dry eyes, and elevated liver enzymes. Two of them also showed transverse white Mees' lines (leukonychia striata) on the fingernails and toenails, suggesting a temporary, drug-induced, disorganized keratinization. The clinical signs gradually disappeared over time. However, later on, two developed severe bilateral secondary cataracts requiring surgery. Because drug tests within the Swedish STRIDA project had demonstrated intake of the NPS opioid MT-45 in all patients, this was suspected to be the common causative agent. Conclusions These cases highlight the importance for physicians and health professionals to consider the increasing number of novel, untested recreational drugs, as a potential cause of unusual and otherwise unrecognized clinical signs and symptoms. |
| Databáze: | OpenAIRE |
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