Late Onset of Cholesterol Crystal Embolism after Thrombolysis for Cerebral Infarction

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概要

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• A 73-year-old man was admitted to our hospital because of bilateral foot pain. He was treated with thrombolysis for cerebral infarction about 5 months ago. Anticoagulants had not been used because of hemorrhagic infarction. The pulses of bilateral pedal arteries were palpable, but cyanosis was present in the bilateral toes. Laboratory data indicated azotemia and eosinophilia. Magnetic resonance imaging revealed multiple plaques of the thoracic and abdominal aorta, one of which was ulcerated. Skin biopsy proved the diagnosis of cholesterol crystal embolism (CCE). Because no invasive vascular procedure was performed, we assumed that CCE in this patient was related to thrombolysis. We should be cautious for late onset of CCE after thrombolysis.

著者

• Konno Tetsuo

  Division Of Cardiovascular Medicine Kanazawa University Graduate School Of Medicine

• SATO Katsuaki

  Department of Applied Physics, Tokyo University of Agriculture and Technology

• Nakashima Akikatsu

  Division Cf Internal Medicine Saiseikai Kanazawa Hospital

• Oe Kotaro

  Division Cf Internal Medicine Saiseikai Kanazawa Hospital

• Araki Tsutomu

  Division Cf Internal Medicine Saiseikai Kanazawa Hospital

• Yamagishi Masakazu

  Division Of Cardiology Department Of Internal Medicine Kanazawa University Graduate School Of Medici

• Nakashima Akikatsu

  Division of Internal Medicine, Saiseikai Kanazawa Hospital

• Sato Katsuaki

  Department of Applied Physics, Graduate School of Engineering, Tokyo University of Agriculture and Technology, 2-24-16 Nakacho, Koganei, Tokyo 184-8588, Japan

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