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{
    "pk": 845,
    "title": "Keratolysis Associated with Methamphetamine Use – Incidental Diagnosis of Corneal Melt in a Patient with Acute Methamphetamine Intoxication",
    "subtitle": null,
    "abstract": "Case Presentation:\n A 38-year-old male presented to the emergency department with methamphetamine-induced agitation. Physical exam showed clouding of the left cornea, with gelatinous appearance and associated conjunctivitis, consistent with corneal melt, or keratolysis.\nDiscussion:\n Keratolysis is dissolution of the corneal stroma that can lead to corneal ulceration and vision loss. Smoking stimulants has been shown to be associated with this pattern of ocular injury, although this is a relatively rare presentation. Acute keratolysis is a unique complication of methamphetamine preparation and ingestion via smoking that can lead to corneal ulceration and loss of vision.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "corneal ulceration"
        },
        {
            "word": "keratolysis"
        },
        {
            "word": "methamphetamine"
        }
    ],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4962t66v",
    "frozenauthors": [
        {
            "first_name": "Jagdipak",
            "middle_name": "S.",
            "last_name": "Heer",
            "name_suffix": "",
            "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California",
            "department": "None"
        },
        {
            "first_name": "Sean",
            "middle_name": "",
            "last_name": "Heavey",
            "name_suffix": "",
            "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California",
            "department": "None"
        },
        {
            "first_name": "Daniel",
            "middle_name": "",
            "last_name": "Quesada",
            "name_suffix": "",
            "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California; LAC+ USC Medical Center, Department of Emergency Medicine, Los Angeles, California",
            "department": "None"
        },
        {
            "first_name": "Phillip",
            "middle_name": "",
            "last_name": "Aguìñiga-Navarrete",
            "name_suffix": "",
            "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California",
            "department": "None"
        },
        {
            "first_name": "Madison",
            "middle_name": "B.",
            "last_name": "Garrett",
            "name_suffix": "",
            "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California",
            "department": "None"
        },
        {
            "first_name": "Kieron",
            "middle_name": "",
            "last_name": "Barkataki",
            "name_suffix": "",
            "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California",
            "department": "None"
        }
    ],
    "date_submitted": "2020-06-16T03:06:21+08:00",
    "date_accepted": "2020-06-16T03:06:21+08:00",
    "date_published": "2020-06-16T03:07:04+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/845/galley/597/download/"
        }
    ]
}