Cutaneous Complications With Parenteral Pentazocine Dependence
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چکیده
Background: Pentazocine abuse has been associated with cutaneous complications, but reports from India are rare. Objective: To report a case of parenteral pentazocine dependence with a unique pattern of injection leading to an unusually large skin ulcer. Case report: A laboratory technician became dependent on parenteral pentazocine. Having exhausted accessible veins, he started ‘blind-dating’: an unusual pattern of injecting blindly into one area (thigh) though aware that most probably he would not reach the veins this way. This eventually gave rise to a large ulcer on his right thigh covering its anterior, medial and lateral aspects. Following a referral from the surgical department and his subsequent deaddiction by pharmacological and psychological means, as well as local treatment of the ulcer, the ulcer responded to treatment within a few weeks and healed by six months. Conclusion: Pentazocine abuse should be considered as a differential diagnosis in cases with non-healing ulcers, even when the patient does not volunteer a history of self-medication. Similarly, it is very important to look for the cutaneous complications in pentazocine dependent subjects and manage the same at the earliest (German J Psychiatry 2006; 9: 53-56).
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تاریخ انتشار 2006