Author/Editor     Fister, Miša; Lindič, Jelka
Title     Holesterolni embolizmi
Translated title     Cholesterol embolism syndrome
Type     članek
Source     Med Razgl
Vol. and No.     Letnik 48, št. 3
Publication year     2009
Volume     str. 267-76
Language     slo
Abstract     Cholesterol embolism is a dinical syndrome in which cholesterol crystals break from an atheromato us plaque in a larger artery and ocdude the lumen of small peripheral arteries. It commonly occurs after vascular intervention procedures, but can also occur spontaneously. Because of possible involvement of any organ system, the syndrome represents a diagnostic challenge.In dinical presentation, the most commonly involved organs are the skin (in the form ofblue toe syndrome or livedo reticularis) and kidneys (acute kidney failure), and there mayaIso be abdominal pain. Patients are usually older and have generalized atherosderosis, with or without its well-known manifestations. The diagnosis is more easily made when an embolism occurs acutely rather than when they are chronic. The diagnosis can be confirmed only by biopsy of the affected area that shows cholesterol crystals in the lumen of small arteries.Mortality from cholesterol embolisms is high, and their treatment is only symptomatic, aimed at slowing the progress of atherosderosis.
Descriptors     EMBOLISM, CHOLESTEROL
ATHEROSCLEROSIS