Ibsen H H, Brandrup F, Clemmensen O J
Odense Sygehus, dermato-venerologisk afdeling I og patologisk institut.
Ugeskr Laeger. 1992 Mar 16;154(12):774-6.
Cholesterol microemboli are caused by cholesterol crystals released from arteriosclerotic plaques in the major arteries. The clinical picture is illustrated by two case histories with symptoms in the form of myalgia, livedo reticularis and gangrene. The diagnoses were verified by demonstration of cholesterol crystals in the affected tissue. The pathogenesis is illustrated and, on the basis of the literature, it is emphasized that cholesterol microemboli are probably often overlooked clinically and that an increasing incidence must be anticipated on account of the increasing frequency of invasive procedures and treatments of arteriosclerotic vascular disease.
胆固醇微栓子由大动脉粥样硬化斑块释放的胆固醇结晶引起。通过两个以肌痛、网状青斑和坏疽形式出现症状的病例史来说明临床表现。通过在受影响组织中发现胆固醇结晶来证实诊断。阐述了发病机制,并根据文献强调,胆固醇微栓子在临床上可能常常被忽视,而且由于侵入性操作和动脉硬化性血管疾病治疗频率的增加,预计其发病率会上升。