Keratolysis Associated with Methamphetamine Use – Incidental Diagnosis of Corneal Melt in a Patient with Acute Methamphetamine Intoxication

CASE PRESENTATION: A 38-year-old male presented to the emergency department with methamphetamine-induced agitation. Physical exam showed clouding of the left cornea, with gelatinous appearance and associated conjunctivitis, consistent with corneal melt, or keratolysis. DISCUSSION: Keratolysis is dis...

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Autores principales: Heer, Jagdipak S., Heavey, Sean, Quesada, Daniel, Aguìñiga-Navarrete, Phillip, Garrett, Madison B., Barkataki, Kieron
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020
Materias:
Images in Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434255/
https://www.ncbi.nlm.nih.gov/pubmed/32926718
http://dx.doi.org/10.5811/cpcem.2020.3.43981
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author Heer, Jagdipak S.
Heavey, Sean
Quesada, Daniel
Aguìñiga-Navarrete, Phillip
Garrett, Madison B.
Barkataki, Kieron
author_facet Heer, Jagdipak S.
Heavey, Sean
Quesada, Daniel
Aguìñiga-Navarrete, Phillip
Garrett, Madison B.
Barkataki, Kieron
author_sort Heer, Jagdipak S.
collection PubMed
description CASE PRESENTATION: A 38-year-old male presented to the emergency department with methamphetamine-induced agitation. Physical exam showed clouding of the left cornea, with gelatinous appearance and associated conjunctivitis, consistent with corneal melt, or keratolysis. DISCUSSION: Keratolysis is dissolution of the corneal stroma that can lead to corneal ulceration and vision loss. Smoking stimulants has been shown to be associated with this pattern of ocular injury, although this is a relatively rare presentation. Acute keratolysis is a unique complication of methamphetamine preparation and ingestion via smoking that can lead to corneal ulceration and loss of vision.
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spelling pubmed-74342552020-08-20 Keratolysis Associated with Methamphetamine Use – Incidental Diagnosis of Corneal Melt in a Patient with Acute Methamphetamine Intoxication Heer, Jagdipak S. Heavey, Sean Quesada, Daniel Aguìñiga-Navarrete, Phillip Garrett, Madison B. Barkataki, Kieron Clin Pract Cases Emerg Med Images in Emergency Medicine CASE PRESENTATION: A 38-year-old male presented to the emergency department with methamphetamine-induced agitation. Physical exam showed clouding of the left cornea, with gelatinous appearance and associated conjunctivitis, consistent with corneal melt, or keratolysis. DISCUSSION: Keratolysis is dissolution of the corneal stroma that can lead to corneal ulceration and vision loss. Smoking stimulants has been shown to be associated with this pattern of ocular injury, although this is a relatively rare presentation. Acute keratolysis is a unique complication of methamphetamine preparation and ingestion via smoking that can lead to corneal ulceration and loss of vision. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020-06-15 /pmc/articles/PMC7434255/ /pubmed/32926718 http://dx.doi.org/10.5811/cpcem.2020.3.43981 Text en Copyright: © 2020 Heer et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Images in Emergency Medicine
Heer, Jagdipak S.
Heavey, Sean
Quesada, Daniel
Aguìñiga-Navarrete, Phillip
Garrett, Madison B.
Barkataki, Kieron
Keratolysis Associated with Methamphetamine Use – Incidental Diagnosis of Corneal Melt in a Patient with Acute Methamphetamine Intoxication
title Keratolysis Associated with Methamphetamine Use – Incidental Diagnosis of Corneal Melt in a Patient with Acute Methamphetamine Intoxication
title_full Keratolysis Associated with Methamphetamine Use – Incidental Diagnosis of Corneal Melt in a Patient with Acute Methamphetamine Intoxication
title_fullStr Keratolysis Associated with Methamphetamine Use – Incidental Diagnosis of Corneal Melt in a Patient with Acute Methamphetamine Intoxication
title_full_unstemmed Keratolysis Associated with Methamphetamine Use – Incidental Diagnosis of Corneal Melt in a Patient with Acute Methamphetamine Intoxication
title_short Keratolysis Associated with Methamphetamine Use – Incidental Diagnosis of Corneal Melt in a Patient with Acute Methamphetamine Intoxication
title_sort keratolysis associated with methamphetamine use – incidental diagnosis of corneal melt in a patient with acute methamphetamine intoxication
topic Images in Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434255/
https://www.ncbi.nlm.nih.gov/pubmed/32926718
http://dx.doi.org/10.5811/cpcem.2020.3.43981
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