Úlcera mediofacial secundaria al consumo de cocaína

Nowadays there is a growing incidence of skin manifestations due to cocaine abuse with a wide clinical range. Its origin can be traced to multiple factors: the vasoconstrictive effect of the drug, the irritant effects if adulterants like levamisole which induce dopaminergic and serotoninergic responses, and the traumatic effect of the mucosa caused by cocaine crystals insuflated at high velocity. There is yet no consensus on how to handle this pathology. We report a 50-year-old male patient with an ulcer in nasal mucosa and adjacent tissues, secondary to cocaine use, with good response to treatment.