IADVL
Indexed with PubMed and Science Citation Index (E) 
 
Users online: 5533 
     Home | Feedback | Login 
About Current Issue Archive Ahead of print Search Instructions Online Submission Subscribe What's New Contact  
  Navigate here 
  Search
 
  
 Resource links
   Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
   Article in PDF (538 KB)
   Citation Manager
   Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
* Registration required (free)  

 
  In this article
   Article Figures

 Article Access Statistics
    Viewed2547    
    Printed52    
    Emailed0    
    PDF Downloaded113    
    Comments [Add]    

Recommend this journal

 


 
 Table of Contents    
IMAGES IN CLINICAL PRACTICE
Year : 2015  |  Volume : 81  |  Issue : 4  |  Page : 388

Cutaneous cholesterol embolization syndrome


1 Department of Medicine, St. Marianna University School of Medicine, Kanagawa, Japan
2 Department of Medicine, Ryukyu University School of Medicine, Okinawa, Japan

Date of Web Publication3-Jul-2015

Correspondence Address:
Naohiko Imai
Department of Medicine, St. Marianna University School of Medicine, Kanagawa
Japan
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0378-6323.158664

Rights and Permissions



How to cite this article:
Imai N, Zamami R, Kimura K. Cutaneous cholesterol embolization syndrome. Indian J Dermatol Venereol Leprol 2015;81:388

How to cite this URL:
Imai N, Zamami R, Kimura K. Cutaneous cholesterol embolization syndrome. Indian J Dermatol Venereol Leprol [serial online] 2015 [cited 2019 Jun 25];81:388. Available from: http://www.ijdvl.com/text.asp?2015/81/4/388/158664


A 67-year-old man with type 2 diabetes mellitus underwent percutaneous coronary intervention. Six weeks later, bluish reticulated patches were observed on the tips of his toes and an ulcer was noted on his right toe [Figure 1]a. Laboratory tests showed eosinophilia, an elevated serum creatinine level and an elevated lactate dehydrogenase level. Skin biopsy showed the presence of cholesterol clefts in the lumen of a vessel [Figure 1]b]. His kidney function continued to deteriorate and reached end-stage renal disease in 3 months. Cholesterol embolization syndrome is caused by embolization of cholesterol crystals and is commonly associated with iatrogenic manipulations. Skin biopsy is diagnostic and the needle-shaped spaces noted within the lumen of arterioles of the affected skin are characteristic.
Figure 1: (a) Bluish reticulated patches were observed on the tips of the patient's toes and an ulcer was noted on his right toe; (b) skin biopsy showed the presence of cholesterol clefts in the lumen of a vessel


Click here to view



    Figures

  [Figure 1]



 

Top
Print this article  Email this article

    

Online since 15th March '04
Published by Wolters Kluwer - Medknow