{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:48:55Z","timestamp":1787071735089,"version":"build-2736575974"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>A pregnant woman in her early 30s presented to her family medicine doctor with a nasal septal perforation and a history of past cocaine use. This case required careful evaluation to distinguish between potential causes, including autoimmune vasculitis and drug-induced damage. Management was tailored to her pregnancy, emphasizing conservative nasal care and multidisciplinary support. With cessation of cocaine use and supportive treatment, the patient\u2019s nasal condition stabilized. This case highlights the diagnostic complexity of septal perforations and reinforces the importance of identifying cocaine-induced pathology, which in this case avoided unnecessary immunosuppression.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_882_25","type":"journal-article","created":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T11:01:35Z","timestamp":1764327695000},"page":"4924-4927","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Nasal septal perforation in pregnancy case report: A family medicine perspective"],"prefix":"10.4103","volume":"14","author":[{"given":"Zahir","family":"Mughal","sequence":"first","affiliation":[{"name":"Department of ENT, John Radcliffe Hospital, Oxford OX3 9DU, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faraz","family":"Mughal","sequence":"additional","affiliation":[{"name":"School of Medicine, David Weatherall Building, Keele University, Staffordshire ST5 5BG, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Martinez-Devesa","sequence":"additional","affiliation":[{"name":"Department of ENT, John Radcliffe Hospital, Oxford OX3 9DU, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Qureishi","sequence":"additional","affiliation":[{"name":"Department of ENT, John Radcliffe Hospital, Oxford OX3 9DU, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,11,29]]},"reference":[{"key":"R1-20251211","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s11882-018-0754-1","article-title":"Nasoseptal perforation:From etiology to treatment","volume":"18","author":"Pereira","year":"2018","journal-title":"Curr Allergy Asthma Rep"},{"key":"R2-20251211","doi-asserted-by":"crossref","first-page":"5116","DOI":"10.3390\/jcm13175116","article-title":"Cocaine- and levamisole-induced vasculitis:Defining the spectrum of autoimmune manifestations","volume":"13","author":"Iorio","year":"2024","journal-title":"J Clin Med"},{"key":"R4-20251211","doi-asserted-by":"crossref","first-page":"rkad027","DOI":"10.1093\/rap\/rkad027","article-title":"Cocaine-induced granulomatosis with polyangiitis-an under-recognized condition","volume":"7","author":"Gill","year":"2023","journal-title":"Rheumatol Adv Pract"},{"key":"R5-20251211","doi-asserted-by":"crossref","first-page":"rkad047","DOI":"10.1093\/rap\/rkad047","article-title":"Hidden in plain sight:How to look behind the veil of cocaine-induced vasculitis","volume":"7","author":"van","year":"2023","journal-title":"Rheumatol Adv Pract"},{"key":"R6-20251211","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s40674-024-00215-5","article-title":"(Levamisole adulterated) cocaine-induced vasculitis:What is known\/current evidence","volume":"10","author":"Donkers","year":"2024","journal-title":"Curr Treatm Opt Rheumatol"},{"key":"R7-20251211","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1016\/j.anl.2024.04.002","article-title":"Sinonasal manifestations of granulomatosis with polyangiitis:A retrospective analysis","volume":"51","author":"Tateyama","year":"2024","journal-title":"Auris Nasus Larynx"},{"key":"R8-20251211","first-page":"309","article-title":"Differentiation of cocaine-induced midline destructive lesions from ANCA-associated vasculitis","volume":"30","author":"Mirzaei","year":"2018","journal-title":"Iran J Otorhinolaryngol"},{"key":"R10-20251211","first-page":"55","article-title":"Medical and psychologic risks of maternal cocaine use","volume":"43","author":"Singer","year":"1997","journal-title":"Resid Staff Physician"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_882_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:52:51Z","timestamp":1787068371000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_882_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":8,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_882_25","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"2025-05-19","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-30","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}