Delayed Appearance of Livedo Reticularis in 3 Cases With a Cholesterol Embolism

Kusaba, Ayako; Imayama, Shuhei; Furue, Masutaka

doi:10.1001/archderm.135.6.725

Cited by 8 publications

(1 citation statement)

References 6 publications

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“…Two interesting case reports describe elderly patients with hemoptysis and renal involvement, suggesting that cholesterol embolization should be considered in the differential diagnosis of the pulmonary-renal syndromes [36,37]. Livedo reticularis may have a delayed appearance 5 to 16 weeks after undergoing a vascular procedure, suggesting that delayed rupture of the cholesterolladen material can occur [38].…”

Section: Cholesterol Embolismmentioning

confidence: 99%

Pseudovasculitis: Mechanisms of vascular injury and clinical spectrum

Grau

2002

Curr Rheumatol Rep

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Pseudovasculitis, vasculitis-like syndromes, or mimics of vasculitis represent a heterogeneous collection of disorders that are capable of simulating a vasculitic disorder. Some conditions such as cardiac myxomas, cholesterol embolization, and fibromuscular dysplasia are more apt to cause confusion, but numerous other conditions can do so also. Inappropriate diagnosis leads to delay or absence of proper management and exposure to potentially deleterious treatment modalities such as corticosteroids and cytotoxic agents. The diagnosis of a pseudovasculitic disorder requires a high index of suspicion and should always be part of the differential diagnosis of vasculitis. The endothelium is thought to be pivotal in vascular injury; much has been learned using in vitro human umbilical vein endothelial cell cultures. Application of this knowledge to human disease and to vasculitic disorders and their imitators is still premature.

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Section: Cholesterol Embolismmentioning

confidence: 99%