Puffy hand syndrome due to drug addiction: a case-control study of the pathogenesis.
Identifieur interne : 003907 ( PubMed/Corpus ); précédent : 003906; suivant : 003908Puffy hand syndrome due to drug addiction: a case-control study of the pathogenesis.
Auteurs : Valérie Andresz ; Nicolas Marcantoni ; Florence Binder ; Michel Velten ; Martine Alt ; Jean-Christophe Weber ; Dominique StephanSource :
- Addiction (Abingdon, England) [ 0965-2140 ] ; 2006.
English descriptors
- KwdEn :
- Buprenorphine (administration & dosage), Buprenorphine (adverse effects), Case-Control Studies, Female, France, Hand, Humans, Lymphedema (chemically induced), Male, Narcotic Antagonists (administration & dosage), Narcotic Antagonists (adverse effects), Risk Factors, Statistics, Nonparametric, Substance Abuse, Intravenous (complications), Syndrome.
- MESH :
- chemical , administration & dosage : Buprenorphine, Narcotic Antagonists.
- chemical , adverse effects : Buprenorphine, Narcotic Antagonists.
- geographic : France.
- chemically induced : Lymphedema.
- complications : Substance Abuse, Intravenous.
- Case-Control Studies, Female, Hand, Humans, Male, Risk Factors, Statistics, Nonparametric, Syndrome.
Abstract
We studied the pathogenesis of puffy hand syndrome of intravenous drug use. We hypothesized that injections of high-dose sublingual buprenorphine, instead of the recommended sublingual administration, could play an important role in lymphatic obstruction and destruction.
DOI: 10.1111/j.1360-0443.2006.01521.x
PubMed: 16911735
Links to Exploration step
pubmed:16911735Le document en format XML
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<author><name sortKey="Andresz, Valerie" sort="Andresz, Valerie" uniqKey="Andresz V" first="Valérie" last="Andresz">Valérie Andresz</name>
<affiliation><nlm:affiliation>Hypertension Maladies vasculaires Pharmacologie clinique, Hôpitaux Universitaires de Strasbourg, 67091 Strasbourg cedex, France.</nlm:affiliation>
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<author><name sortKey="Marcantoni, Nicolas" sort="Marcantoni, Nicolas" uniqKey="Marcantoni N" first="Nicolas" last="Marcantoni">Nicolas Marcantoni</name>
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<author><name sortKey="Binder, Florence" sort="Binder, Florence" uniqKey="Binder F" first="Florence" last="Binder">Florence Binder</name>
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<author><name sortKey="Velten, Michel" sort="Velten, Michel" uniqKey="Velten M" first="Michel" last="Velten">Michel Velten</name>
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<author><name sortKey="Alt, Martine" sort="Alt, Martine" uniqKey="Alt M" first="Martine" last="Alt">Martine Alt</name>
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<author><name sortKey="Weber, Jean Christophe" sort="Weber, Jean Christophe" uniqKey="Weber J" first="Jean-Christophe" last="Weber">Jean-Christophe Weber</name>
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<author><name sortKey="Stephan, Dominique" sort="Stephan, Dominique" uniqKey="Stephan D" first="Dominique" last="Stephan">Dominique Stephan</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Puffy hand syndrome due to drug addiction: a case-control study of the pathogenesis.</title>
<author><name sortKey="Andresz, Valerie" sort="Andresz, Valerie" uniqKey="Andresz V" first="Valérie" last="Andresz">Valérie Andresz</name>
<affiliation><nlm:affiliation>Hypertension Maladies vasculaires Pharmacologie clinique, Hôpitaux Universitaires de Strasbourg, 67091 Strasbourg cedex, France.</nlm:affiliation>
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<author><name sortKey="Marcantoni, Nicolas" sort="Marcantoni, Nicolas" uniqKey="Marcantoni N" first="Nicolas" last="Marcantoni">Nicolas Marcantoni</name>
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<author><name sortKey="Binder, Florence" sort="Binder, Florence" uniqKey="Binder F" first="Florence" last="Binder">Florence Binder</name>
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<author><name sortKey="Velten, Michel" sort="Velten, Michel" uniqKey="Velten M" first="Michel" last="Velten">Michel Velten</name>
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<author><name sortKey="Alt, Martine" sort="Alt, Martine" uniqKey="Alt M" first="Martine" last="Alt">Martine Alt</name>
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<author><name sortKey="Weber, Jean Christophe" sort="Weber, Jean Christophe" uniqKey="Weber J" first="Jean-Christophe" last="Weber">Jean-Christophe Weber</name>
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<author><name sortKey="Stephan, Dominique" sort="Stephan, Dominique" uniqKey="Stephan D" first="Dominique" last="Stephan">Dominique Stephan</name>
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<series><title level="j">Addiction (Abingdon, England)</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Buprenorphine (administration & dosage)</term>
<term>Buprenorphine (adverse effects)</term>
<term>Case-Control Studies</term>
<term>Female</term>
<term>France</term>
<term>Hand</term>
<term>Humans</term>
<term>Lymphedema (chemically induced)</term>
<term>Male</term>
<term>Narcotic Antagonists (administration & dosage)</term>
<term>Narcotic Antagonists (adverse effects)</term>
<term>Risk Factors</term>
<term>Statistics, Nonparametric</term>
<term>Substance Abuse, Intravenous (complications)</term>
<term>Syndrome</term>
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<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Buprenorphine</term>
<term>Narcotic Antagonists</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Buprenorphine</term>
<term>Narcotic Antagonists</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>France</term>
</keywords>
<keywords scheme="MESH" qualifier="chemically induced" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Substance Abuse, Intravenous</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Case-Control Studies</term>
<term>Female</term>
<term>Hand</term>
<term>Humans</term>
<term>Male</term>
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<front><div type="abstract" xml:lang="en">We studied the pathogenesis of puffy hand syndrome of intravenous drug use. We hypothesized that injections of high-dose sublingual buprenorphine, instead of the recommended sublingual administration, could play an important role in lymphatic obstruction and destruction.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16911735</PMID>
<DateCreated><Year>2006</Year>
<Month>08</Month>
<Day>16</Day>
</DateCreated>
<DateCompleted><Year>2007</Year>
<Month>01</Month>
<Day>18</Day>
</DateCompleted>
<DateRevised><Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0965-2140</ISSN>
<JournalIssue CitedMedium="Print"><Volume>101</Volume>
<Issue>9</Issue>
<PubDate><Year>2006</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Addiction (Abingdon, England)</Title>
<ISOAbbreviation>Addiction</ISOAbbreviation>
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<ArticleTitle>Puffy hand syndrome due to drug addiction: a case-control study of the pathogenesis.</ArticleTitle>
<Pagination><MedlinePgn>1347-51</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="AIM" NlmCategory="OBJECTIVE">We studied the pathogenesis of puffy hand syndrome of intravenous drug use. We hypothesized that injections of high-dose sublingual buprenorphine, instead of the recommended sublingual administration, could play an important role in lymphatic obstruction and destruction.</AbstractText>
<AbstractText Label="DESIGN AND PARTICIPANTS" NlmCategory="METHODS">We set up a case-control study in substitution centres, recruiting intravenous drug addicts with and without puffy hands, respectively. The subjects were asked to answer anonymously a questionnaire of 40 items comprising social and demographic status, history of illicit drugs use, buprenorphine misuse and injection practices.</AbstractText>
<AbstractText Label="FINDINGS" NlmCategory="RESULTS">We included 33 cases and 33 controls, mean age of 34 years. They were past heroin users, mainly methadone-substituted. In multivariate analysis, sex (women) (OR = 8.9, P = 0.03), injections in the hands (OR = 5.9, P = 0.03), injections in the feet (OR = 6.5, P = 0.01) and the absence of tourniquet (OR = 7.0, p = 0.02) were significant risk factors for puffy hand syndrome. In 69.7% of the cases and 59.4% of the controls, respectively, there was a high-dose sublingual buprenorphine misuse, although it appeared not to be a significant risk factor for puffy hand syndrome.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Injection practices are likely to cause puffy hands syndrome, but buprenorphine misuse should not be considered as a significant risk factor. However, intravenous drug users must still be warned of local and systemic complications of intravenous drug misuse.</AbstractText>
</Abstract>
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<ForeName>Valérie</ForeName>
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<MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
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