A Case of Pseudo-xanthoma Elasticum Presenting with Ischaemic Claudication

Abstract A 37-year-old man presented with symptoms of intermittent claudication. Investigations revealed atypical calf vessel disease but no obvious aetiology. Ten years later he re-presented with worsening symptoms. CT angiography confirmed the atypical pattern of lower limb arterial disease but al...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery 2012-04, Vol.43 (4), p.478-479
Main Authors: Lamb, C.M, Johns, R.A, Gallagher, P.J, Odurny, A, Shearman, C.P
Format: Article
Language:English
Subjects:
Adult
Atypical claudication
Genetic disorders
Humans
Intermittent Claudication - etiology
Male
Pseudo-xanthoma elasticum
Pseudoxanthoma Elasticum - complications
Pseudoxanthoma Elasticum - diagnosis
Surgery
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Summary:Abstract A 37-year-old man presented with symptoms of intermittent claudication. Investigations revealed atypical calf vessel disease but no obvious aetiology. Ten years later he re-presented with worsening symptoms. CT angiography confirmed the atypical pattern of lower limb arterial disease but also noted calcification of the renal parenchyma, myocardium and scrotum. A diagnosis of pseudo-xanthoma elasticum was confirmed by skin biopsy. Pseudo-xanthoma elasticum is a rare condition that presents infrequently to vascular surgeons. Early recognition should prompt aggressive risk factor management to slow accelerated atherosclerosis. Clinicians should be aware of the clinical features of this condition to allow early diagnosis.
ISSN:1078-5884
1532-2165
DOI:10.1016/j.ejvs.2012.01.001