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Revista médica de Chile

Print version ISSN 0034-9887

Abstract

DUFRECHOU, Carlos et al. Cholesterol embolism: Report of one case. Rev. méd. Chile [online]. 2006, vol.134, n.11, pp.1476-1479. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872006001100012.

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% 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

Keywords : Blue toe syndrome; Embolism, cholesterol; Kidney failure, acute.

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