A case of cholesterol embolization syndrome mimicking rapidly progressive renal failure causing end-stage kidney disease

Cholesterol embolization syndrome is an uncommon complication of coronary angioplasty. Its clinical manifestations are nonspecific and may be ascribed to other causes mimicking vasculitis syndrome. In an appropriate clinical setting, the diagnosis can be confirmed by tissue biopsy. In this case repo...

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Bibliographic Details
Published in:Saudi journal of kidney diseases and transplantation 2021-09, Vol.32 (5), p.1489-1494
Main Authors: Bhat, Keshavamurthy, Jha, Vijoy, Kumar, M, Mahapatra, Debasish
Format: Article
Language:English
Subjects:
Angioplasty
Cardiac patients
Cholesterol
Chronic kidney failure
Clinical deterioration
Diagnosis
Embolism, Cholesterol - complications
Embolism, Cholesterol - diagnosis
Embolization
Female
Humans
Kidney - pathology
Kidney diseases
Kidney Failure, Chronic - complications
Kidney Failure, Chronic - diagnosis
Kidney Failure, Chronic - therapy
Male
Middle Aged
Renal Dialysis - adverse effects
Sitagliptin
Telmisartan
Transluminal angioplasty
Vasculitis - etiology
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Description
Summary:Cholesterol embolization syndrome is an uncommon complication of coronary angioplasty. Its clinical manifestations are nonspecific and may be ascribed to other causes mimicking vasculitis syndrome. In an appropriate clinical setting, the diagnosis can be confirmed by tissue biopsy. In this case report, we present a middle-aged male who presented with cutaneous and renal manifestations within two weeks of primary angioplasty. The patient had progressive clinical deterioration in the form of dry gangrene of toes and end-stage renal disease requiring surgical amputation and maintenance hemodialysis respectively within two months of symptoms onset.
ISSN:1319-2442
2320-3838
DOI:10.4103/1319-2442.344775