Crack users may present punctiform, hyperkeratotic and dark lesions on the hands or fingertips attributed to burns caused by the pipe used to smoke the drug. 1 Perniosis and atrophy of digital pulps may also occur due to ischemia resulting from peripheral vasoconstriction induced by drug use. 3 These thermal lesions may lead to microscopic ...

May 1, 2020 · With use, crack pipes will have burn marks and smoke residue. Also, look for makeshift devices with burn marks. For instance, if pipes or other paraphernalia aren’t available, a regular light bulb makes a good substitute.

We describe a typical case with photographs demonstrating multiple blackened hyperkeratotic lesions of the palmar aspects of the fingers and palm, some linear, some circular. These involve mostly the dominant hand and are caused by the heat of the glass cocaine pipe.

Sep 14, 2005 · Drs Stephen Winbery and Kari Blaho of Memphis, who sent this photo, comment that crack cocaine, usually smoked in glass pipes, may become hot enough to burn the oral mucosa-burns that can be an indication of such drug use.

Jun 29, 2021 · The contraptions used to facilitate this (referred to as crack pipes) can result in several types of burns: Chapped, blistered, or cracked lips: The pipe can quickly become very hot. Without a mouthpiece, it can cause burns when it makes contact with the mouth

Bilateral burn marks on the thumbs may suggest use of a crack pipe. Urine toxicology can be helpful for identifying recent cocaine use, remaining positive for days to weeks depending on the extent of usage (2,3). Management is largely supportive, and most patients with crack lung improve within three to 14 days.

Crack cocaine users often sustain fingertip burns from holding heated crack pipes. Such burns may provide a visual clue to emergency physicians for possible underlying cocaine intoxication.

Burned fingertips are a telltale injury from smoking crack cocaine because crack is often smoked in noninsulated glass or metal pipes. Handling these hot pipes, nicknamed “stems” or “blasters,” often leads to thermal injuries of fingertips and even lips.

Upon further questioning, she admitted to burning her lips and mouth on a crack pipe. Figure 1. Lesion to mucosa of inner lip. Figure 2. Multiple lesions on tongue.

Fingertip burns from a crack pipe Ann Emerg Med. 2008 May;51(5):681, 695. doi: 10.1016/j.annemergmed.2007.08.026. Author Michelle Lin 1 Affiliation 1 University of California, San Francisco, San Francisco General Hospital, Emergency Services, San Francisco, CA, USA. PMID: 18436054 DOI: 10.1016/j ...