Embolias de colesterol: Caso clínico / Cholesterol embolism: Report of one case
Rev. méd. Chile
;
134(11): 1476-1479, nov. 2006. ilus
Article
in Spanish
| LILACS
| ID: lil-439939
ABSTRACT
We report a 72 year-old male, that after a coronary angiogram presented pain, reduced distal skin temperature of both limbs, cyanosis of toes with preserved peripheral pulses and a rapidly progressive renal failure. Afterwards, the patient suffered a sudden bilateral amblyopia and hematochezia. Cholesterol embolism was confirmed with a skin biopsy and fundoscopy. A colonoscopy showed a possible ischemic colitis. After six months of follow up, the patient lost the distal phalanges of three toes, and renal failure stabilized, with a serum creatinine of 2.5 mg/dl. The diagnosis of cholesterol embolism is often missed, but it has a one year mortality of 80 percent and the presence of renal failure is the main prognostic indicator. Other prognostic indicators are the presence of high blood pressure, previous renal failure and peripheral artery disease.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Embolism, Cholesterol
Type of study:
Etiology study
/
Prognostic study
Limits:
Aged
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2006
Type:
Article
Affiliation country:
Uruguay
Institution/Affiliation country:
Universidad de la República Montevideo/UY
Similar
MEDLINE
...
LILACS
LIS