TY - JOUR PY - 2024// TI - Cannabis-related disorders and toxic effects JO - New England journal of medicine A1 - Hassouneh, Ala' A1 - Tambyraja, Andrew L. SP - e867 EP - e867 VL - 390 IS - 9 N2 - To the Editor: The review by Gorelick (Dec. 14 issue)1 regarding cannabis-related disorders highlights many of the toxic sequelae associated with the misuse of this substance. In addition, cannabis use may cause a distinct inflammatory arteritis affecting the small and medium-sized peripheral arteries in a clinical pattern similar to that seen in tobacco-associated thromboangiitis obliterans.2 More commonly, cannabis use is associated with an increased risk of premature atherosclerotic peripheral vascular disease.3 Distinguishing between these two cannabis-related arteriopathies is clinically challenging, and considerable overlap is most likely. The proposed mechanisms of cannabis-related arteriopathy are underpinned by arteritis, vasospasm, and platelet aggregation. . . .
Language: en
LA - en SN - 0028-4793 UR - http://dx.doi.org/10.1056/NEJMc2400805 ID - ref1 ER -