{Reference Type}: Case Reports {Title}: Identification of N-piperidinyl etonitazene in alternative keratinous matrices from a decomposing cadaver. {Author}: Buratti E;Mietti G;Cerioni A;Cippitelli M;Froldi R;Cingolani M;Scendoni R; {Journal}: J Forensic Leg Med {Volume}: 105 {Issue}: 0 {Year}: 2024 Jul 22 {Factor}: 1.691 {DOI}: 10.1016/j.jflm.2024.102710 {Abstract}: This short report describes research on N-piperidinyl etonitazene, also known as etonitazepipne, in keratinous matrices (hair and nails) after death related to a suspected opioid overdose. Etonitazepipne belongs to the family of benzimidazole opioids, a class of new synthetic opioids that has penetrated the illicit drug market. Analysis in the case under study showed the presence of etonitazepipne in both hair and nails, confirming that the substance accumulates in the body with repeated intake.