Embolias de colesterol: Caso clínico

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. Chol...

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Autores principales:	Dufrechou,Carlos, Cedrés,Santiago, Bruno,Lorena, Quintana,Marcela, Costa,Virginia, Bagattini,Juan Carlos
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2006
Materias:	Blue toe syndrome Embolism, cholesterol Kidney failure, acute
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006001100012
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spelling	oai:scielo:S0034-988720060011000122014-01-24Embolias de colesterol: Caso clínicoDufrechou,CarlosCedrés,SantiagoBruno,LorenaQuintana,MarcelaCosta,VirginiaBagattini,Juan Carlos Blue toe syndrome Embolism, cholesterol Kidney failure, acute 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 diseaseinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.134 n.11 20062006-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006001100012es10.4067/S0034-98872006001100012
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Blue toe syndrome Embolism, cholesterol Kidney failure, acute
spellingShingle	Blue toe syndrome Embolism, cholesterol Kidney failure, acute Dufrechou,Carlos Cedrés,Santiago Bruno,Lorena Quintana,Marcela Costa,Virginia Bagattini,Juan Carlos Embolias de colesterol: Caso clínico
description	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
author	Dufrechou,Carlos Cedrés,Santiago Bruno,Lorena Quintana,Marcela Costa,Virginia Bagattini,Juan Carlos
author_facet	Dufrechou,Carlos Cedrés,Santiago Bruno,Lorena Quintana,Marcela Costa,Virginia Bagattini,Juan Carlos
author_sort	Dufrechou,Carlos
title	Embolias de colesterol: Caso clínico
title_short	Embolias de colesterol: Caso clínico
title_full	Embolias de colesterol: Caso clínico
title_fullStr	Embolias de colesterol: Caso clínico
title_full_unstemmed	Embolias de colesterol: Caso clínico
title_sort	embolias de colesterol: caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2006
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006001100012
work_keys_str_mv	AT dufrechoucarlos emboliasdecolesterolcasoclinico AT cedressantiago emboliasdecolesterolcasoclinico AT brunolorena emboliasdecolesterolcasoclinico AT quintanamarcela emboliasdecolesterolcasoclinico AT costavirginia emboliasdecolesterolcasoclinico AT bagattinijuancarlos emboliasdecolesterolcasoclinico
_version_	1718436293791186944

Embolias de colesterol: Caso clínico

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