Today's physician, seeing patients with a nontraumatic acutely swollen hand, must consider the possibility of drug abuse. The hand problem may be infection, Volkmann ischemia, skin bullae due to barbiturate overdose, or endarteritis due to intra-arterial injection. Cases illustrating the spectrum of drug-related acute hand problems seen in a county hospital and reported in the literature are presented.
Daniel DM. The Acutely Swollen Hand in the Drug User. Arch Surg. 1973;107(4):548-551. doi:10.1001/archsurg.1973.01350220032008