Contents

SynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyDrug Reaction DataReferences
Cocaine-associated plasma cell orificial mucositis
Other Resources UpToDate PubMed

Cocaine-associated plasma cell orificial mucositis

Contributors: Vivian Wong MD, PhD, Susan Burgin MD
Other Resources UpToDate PubMed

Synopsis

Cocaine-associated plasma cell orificial mucositis is a rare condition diagnosed in cocaine users who present with exudative ulcerated plaques within the nostrils. These lesions appear between 2 and 24 months following cocaine intake. Patients may present with other findings associated with cocaine use, such as septal perforation. Histologically, there are abundant polyclonal plasma cell infiltrates with rare eosinophils.

This is a newly identified entity with only about 10 cases reported to date.

Codes

ICD10CM:
J34.81 – Nasal mucositis (ulcerative)
T40.5X5S – Adverse effect of cocaine, sequela

SNOMEDCT:
292181009 – Cocaine adverse reaction
36669007 – Ulcerative nasal mucositis

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

To perform a comparison, select diagnoses from the classic differential

Subscription Required

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

Drug Reaction Data

Subscription Required

References

Subscription Required

Last Reviewed:03/02/2025
Last Updated:03/03/2025
Copyright © 2025 VisualDx®. All rights reserved.
Cocaine-associated plasma cell orificial mucositis
Print  
A medical illustration showing key findings of Cocaine-associated plasma cell orificial mucositis
Copyright © 2025 VisualDx®. All rights reserved.