研究者情報

イマイ　ナオヒコ   IMAI NAOHIKO   今井直彦    所属   医学部医学科 腎臓・高血圧内科    職種   准教授
論文種別	症例報告
言語種別	英語
査読の有無	査読なし
表題	Cutaneous cholesterol embolization syndrome.
掲載誌名	正式名：Indian journal of dermatology, venereology and leprology 略　 称：Indian J Dermatol Venereol Leprol ISSNコード：03786323/09733922
巻・号・頁	81(4),388頁
著者・共著者	◎Imai N, Zamami R, Kimura K.
担当区分	筆頭著者,責任著者
発行年月	2015/07
概要	A 67-year-old man with type 2 diabetes mellitus underwent percutaneous coronary intervention. Six weeks later, bluish reticulated patches were observed on the tips of his toes and an ulcer was noted on his right toe [Figure 1]a. Laboratory tests showed eosinophilia, an elevated serum creatinine level and an elevated lactate dehydrogenase level. Skin biopsy showed the presence of cholesterol clefts in the lumen of a vessel [Figure 1]b]. His kidney function continued to deteriorate and reached end-stage renal disease in 3 months. Cholesterol embolization syndrome is caused by embolization of cholesterol crystals and is commonly associated with iatrogenic manipulations. Skin biopsy is diagnostic and the needle-shaped spaces noted within the lumen of arterioles of the affected skin are characteristic.
DOI	10.4103/0378-6323.158664
PMID	26087104