Korean J Dermatol.
2003 Aug;41(8):1121-1123.
A Case of Cutaneous Cholesterol Embolism
- Affiliations
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- 1Department of Dermatology, College of Medicine, Kyung Hee University, Seoul, Korea. jimmy526@hanmail.net
- 2Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract
- Cutaneous cholesterol embolism is a disease due to the embolism of cholesterol crystals from ulcerated atheromatous plaques to peripheral vessels of the skin. It has been associated with major vessel surgery, angiography, angioplasty, intra-aortic balloon pump placement, anticoagulation, thrombolytic therapy and cardiopulmonary resuscitation. In addition, it may occur spontaneously. In paraffin-fixed sections, the cholesterol crystals are dissolved and leave needle-like clefts within the lumina of arterioles. We report a case of cutaneous cholesterol embolism in a 72-year-old woman who had purplish gangrenous lesions on both her feet after coronary angiography and percutaneous transluminal coronary angioplasty.
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