2010, Number 1
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Dermatología Cosmética, Médica y Quirúrgica 2010; 8 (1)
Atheroembolism and dermatological features. Report of two cases
Montani MA, Rodríguez CMF, Vaglio G, Torre AC, Galimberti G, Galimberti RL
Language: Spanish
References: 15
Page: 28-32
PDF size: 122.79 Kb.
ABSTRACT
Atheroembolism is a multisystemic disorder that refers to
the occlusion of arteries from detachment and embolization
of atheromatous debris. Most affected individuals are males,
older than 60 years of age, with risk factors of atherosclerosis.
Although it can occur spontaneously, atheroembolism is more
commonly associated with iatrogenic manipulation via invasive
vascular procedures or therapies such as anticoagulation or
thrombolytics.
The most commonly affected are kidneys and skin. Skin lesions
are observed in 35% to 100% of patients, and usually represent
the first sign of the disease; so skin biopsy is an important diagnostic
tool.
We report two cases of cholesterol embolism with skin lesions
and renal failure, the former related to a cardiovascular surgery
and the latter with an spontaneous onset without any known
predisposing cause.
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