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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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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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container_title	Saudi journal of kidney diseases and transplantation
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creator	Bhat, Keshavamurthy Jha, Vijoy Kumar, M Mahapatra, Debasish
description	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.
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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
title	A case of cholesterol embolization syndrome mimicking rapidly progressive renal failure causing end-stage kidney disease
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