Chronic Cholesterol Crystal Embolism with a Spontaneous Onset

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概要

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• A 74-year-old man was referred to our hospital because of hypertension, blue toe syndrome and an elevation of serum creatinine from 0.8 to 1.4 mg/dl for eleven months. He had no history of invasive vascular procedures. Atherosclerosis was initially suspected, but renal impairment was accelerated following anticoagulant therapy. A renal biopsy established the diagnosis of cholesterol crystal embolism. Withdrawal of anticoagulants and the combination therapy with LDL apheresis and corticosteroids led to stabilization of the renal function. In patients with risk factors for atherosclerosis, cholesterol crystal embolism should be included in the differential diagnosis of chronic kidney disease.

• 社団法人 日本内科学会の論文

著者

• Takagawa Kiyoshi

  Departments of Internal Medicine, Pathology of Kurobe City Hospital

• Takeda Shin-ichi

  From the Department of Internal Medicine, Kurobe City Hospital

• Enomae Mio

  From the Department of Internal Medicine, Kurobe City Hospital

• Yoshimoto Keiichi

  From the Department of Internal Medicine, Kurobe City Hospital

関連論文

• IgG4-Associated Prostatitis Complicating Autoimmune Pancreatitis
• Chronic Cholesterol Crystal Embolism with a Spontaneous Onset

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