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Anales de Medicina Interna

versión impresa ISSN 0212-7199


SANTAMARIA, A. et al. Cholesterol crystals embolization: Case report. An. Med. Interna (Madrid) [online]. 2001, vol.18, n.4, pp.41-44. ISSN 0212-7199.

Cholesterol Crytals Embolization is not a very frequent entity that happens in people with atheromatous disease of spontaneus for or after the realization of vascular manipulation (angiographic, angioplaty procedures, cardiovascular surgery) or more rarely with the treatment with oral anticuagulants and after trombolytic therapy. The clinical presentation is according to the arterial affected territory and so from diagnosed cases in autopsy reports to florid clinic forms exist. The more frequent are the cutaneus manifestations with apparition of livedo reticularis and purple toes that could go accompanied of necrosis of lower limbs, consecutive from the renal manifestations and the gastrointestinal trac one. The diagnosis is based on the biopsy of organ affected lesons to level of arterioles, that revealed characteristic cholesterol clefts, above all the cutaneus biopsy, muscular and in any case renal.  As for the treatment is symptomatic with analgesics, antiplatelet agents, antiinflammatory, etc... but it doesn´t after the presage and the evolution of the illness. A clear contraindication exists to the use of oral anticuagulants and heparin.

Palabras clave : Cholesterol embolic; Atheromatous; Embolization; Cholesterol.

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