Cholesterol Embolism in a Patient with Inflammatory Abdominal Aortic Aneurysm

A 66-year-old man whose renal function had progressively deteriorated had an elevated blood pressure and also was found to have an inflammatory abdominal aortic aneurysm (AAA). Blood examination revealed that he had eosinophilia. Livedo reticularis of the toes developed, and a skin biopsy specimen s...

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Veröffentlicht in:	Internal Medicine 1999, Vol.38(11), pp.861-864
Hauptverfasser:	SUZUKI, Yoshihiko, KATO, Johji, KYORAKU, Yuka, NAKAMURA, Kunihide, ONITSUKA, Toshio, KATAOKA, Hiroaki, KOONO, Masashi, ETO, Tanenao
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aortic Aneurysm, Abdominal - complications Aortic Aneurysm, Abdominal - surgery Arteriosclerosis - complications atheromatous plaque Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Diseases of the aorta Embolism, Cholesterol - etiology eosinophilia Eosinophilia - complications Humans Inflammation - complications livedo reticularis Male Medical sciences renal failure Renal Insufficiency - complications Skin Diseases, Vascular - etiology Toes - pathology
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Zusammenfassung:	A 66-year-old man whose renal function had progressively deteriorated had an elevated blood pressure and also was found to have an inflammatory abdominal aortic aneurysm (AAA). Blood examination revealed that he had eosinophilia. Livedo reticularis of the toes developed, and a skin biopsy specimen showed embolization of atheromatous plaques in the arterioles of the subcutaneous tissue. Progressive enlargement of inflammatory AAA may have dislodged the atheromatous plaques, resulting in cholesterol embolism. (Internal Medicine 38: 861-864, 1999)
ISSN:	0918-2918 1349-7235
DOI:	10.2169/internalmedicine.38.861