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An Unusual Presentation of Cholesterol Embolization Syndrome

Cholesterol embolization syndrome (CES) is a rare presentation of systemic atherosclerosis, which commonly presents in patients with risk factors of coronary artery disease and usually occurs after cardiac or vascular procedures. Laboratory tests are nonspecific, and imaging studies may visualize th...

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Autores principales: Abdelazeem, Basel, Ayad, Sarah, Osman, Abdul-Fatawu, Gjeka, Rudin, Kunadi, Arvind
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8422901/
https://www.ncbi.nlm.nih.gov/pubmed/34540395
http://dx.doi.org/10.7759/cureus.16993
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author Abdelazeem, Basel
Ayad, Sarah
Osman, Abdul-Fatawu
Gjeka, Rudin
Kunadi, Arvind
author_facet Abdelazeem, Basel
Ayad, Sarah
Osman, Abdul-Fatawu
Gjeka, Rudin
Kunadi, Arvind
author_sort Abdelazeem, Basel
collection PubMed
description Cholesterol embolization syndrome (CES) is a rare presentation of systemic atherosclerosis, which commonly presents in patients with risk factors of coronary artery disease and usually occurs after cardiac or vascular procedures. Laboratory tests are nonspecific, and imaging studies may visualize the plaque. Management includes supportive care directed to relieve the end-organ damage. The prognosis of CES is poor, with high mortality of up to 29% if the CES resulted in atheroembolic renal disease (AERD). In our report, we present a 90-year-old Caucasian female who was diagnosed with CES and complicated with AERD. The patient did not undergo any cardiac or vascular procedures. This case highlights the importance of considering CES and AERD as a potential cause of renal failure, especially in high-risk patients, even if the patients did not have any history of cardiac or vascular intervention.
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spelling pubmed-84229012021-09-17 An Unusual Presentation of Cholesterol Embolization Syndrome Abdelazeem, Basel Ayad, Sarah Osman, Abdul-Fatawu Gjeka, Rudin Kunadi, Arvind Cureus Cardiac/Thoracic/Vascular Surgery Cholesterol embolization syndrome (CES) is a rare presentation of systemic atherosclerosis, which commonly presents in patients with risk factors of coronary artery disease and usually occurs after cardiac or vascular procedures. Laboratory tests are nonspecific, and imaging studies may visualize the plaque. Management includes supportive care directed to relieve the end-organ damage. The prognosis of CES is poor, with high mortality of up to 29% if the CES resulted in atheroembolic renal disease (AERD). In our report, we present a 90-year-old Caucasian female who was diagnosed with CES and complicated with AERD. The patient did not undergo any cardiac or vascular procedures. This case highlights the importance of considering CES and AERD as a potential cause of renal failure, especially in high-risk patients, even if the patients did not have any history of cardiac or vascular intervention. Cureus 2021-08-08 /pmc/articles/PMC8422901/ /pubmed/34540395 http://dx.doi.org/10.7759/cureus.16993 Text en Copyright © 2021, Abdelazeem et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Abdelazeem, Basel
Ayad, Sarah
Osman, Abdul-Fatawu
Gjeka, Rudin
Kunadi, Arvind
An Unusual Presentation of Cholesterol Embolization Syndrome
title An Unusual Presentation of Cholesterol Embolization Syndrome
title_full An Unusual Presentation of Cholesterol Embolization Syndrome
title_fullStr An Unusual Presentation of Cholesterol Embolization Syndrome
title_full_unstemmed An Unusual Presentation of Cholesterol Embolization Syndrome
title_short An Unusual Presentation of Cholesterol Embolization Syndrome
title_sort unusual presentation of cholesterol embolization syndrome
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8422901/
https://www.ncbi.nlm.nih.gov/pubmed/34540395
http://dx.doi.org/10.7759/cureus.16993
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