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May 1987

Snorters' Warts

Author Affiliations

Grayson Building 4414 Regent St Madison, WI 53705

Arch Dermatol. 1987;123(5):571. doi:10.1001/archderm.1987.91660010035012

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To the Editor.—  It has recently come to my attention that many individuals are contracting intranasal verrucae due to group "snorting" of cocaine. A $100 bill (no doubt to symbolize the significance of the momentous occasion) is rolled into a tight cylinder and cocaine powder is inhaled intranasally by way of the rolled-up bill. The same bill is then passed from person to person, each inhaling his portion of the cocaine. In this manner the wart virus is transmitted, employing the bill or other suitable cylinder as a fomite.

Report of a Case.—  A 43-year-old man complained of a crusted area of the right mandibular area, diagnosed as impetigo. In the course of his medical history, he mentioned intranasal warts, first diagnosed in 1977 by an otorhinolaryngologist he had consulted for a sinus infection. He stated that he had experienced difficulty with nasal breathing for the previous two to three

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