Embolias de colesterol: Caso clínico

• Carlos Dufrechou ^[1] ; Santiago Cedrés ^[1] ; Lorena Bruno ^[1] ; Marcela Quintana ^[1] ; Virginia Costa ^[1] ; Juan Carlos Bagattini ^[1]
  1. [1] Universidad de la República

     Universidad de la República

     Uruguay

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 134, Nº. 11, 2006, págs. 1476-1476
• Idioma: español
• Títulos paralelos:
  • Cholesterol embolism: Report of one case
• Enlaces
  • Texto completo
• Resumen

  • 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