A Case of Cutaneous Cholesterol Embolism.
- Author:
Seok Hun OH
1
;
Hyun Ho PARK
;
Jeong Deuk LEE
;
Nack In KIM
Author Information
1. Department of Dermatology, College of Medicine, Kyung Hee University, Seoul, Korea. jimmy526@hanmail.net
- Publication Type:Case Report
- Keywords:
Cutaneous cholesterol embolism
- MeSH:
Aged;
Angiography;
Angioplasty;
Angioplasty, Balloon, Coronary;
Arterioles;
Cardiopulmonary Resuscitation;
Cholesterol*;
Coronary Angiography;
Embolism;
Embolism, Cholesterol*;
Female;
Foot;
Humans;
Plaque, Atherosclerotic;
Skin;
Thrombolytic Therapy;
Ulcer
- From:Korean Journal of Dermatology
2003;41(8):1121-1123
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cutaneous cholesterol embolism is a disease due to the embolism of cholesterol crystals from ulcerated atheromatous plaques to peripheral vessels of the skin. It has been associated with major vessel surgery, angiography, angioplasty, intra-aortic balloon pump placement, anticoagulation, thrombolytic therapy and cardiopulmonary resuscitation. In addition, it may occur spontaneously. In paraffin-fixed sections, the cholesterol crystals are dissolved and leave needle-like clefts within the lumina of arterioles. We report a case of cutaneous cholesterol embolism in a 72-year-old woman who had purplish gangrenous lesions on both her feet after coronary angiography and percutaneous transluminal coronary angioplasty.