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January 2024
Isca Hershkowitz MD, Avivit Cahn MD, Tal Keidar Haran MD, Alon Y. Hershko MD PhD

Illicit drug abuse is a widespread medical problem with numerous sequelae. One of the major challenges in reaching a diagnosis is the difficulty in obtaining accurate details during the medical interview. We describe a patient who initially denied drug abuse while presenting a bizarre nasopharyngeal disease secondary to inhalation of oxycodone-acetaminophen powder.

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