Why did these lesions appear?

October 03, 2018

Figure 1 Quiz of the Week

A 58-year-old woman presents two days after a cardiac catheterization with malaise, fatigue, and new violaceous livedoid lesions on her feet. She is also found to have mild acute renal dysfunction.

What is the cause of her symptoms?

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Image credit: @hfehmi.


Answer: Cholesterol embolization syndrome

When small particles of atheroma embolize during a vascular procedure, the symptoms can vary depending on the tissues affected by these microscopic cholesterol crystals. Common features include acute kidney injury, livedo reticularis, TIAs, and gastrointestinal symptoms.

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