Diem E, Tanew A, Rappersberger K
I. Universitäts-Hautklinik Wien.
Hautarzt. 1988 May;39(5):281-5.
A 65-year-old female patient with pulmonary embolism developed widespread, extremely painful hemorrhagic necroses of the skin and subcutaneous tissue of the lower extremities 5 weeks after initiation of anticoagulation therapy. Due to the clinical and histopathologic findings and the course of the disease, a diagnosis of cholesterol embolization was made. The characteristic features of this clinical entity and differential diagnostic considerations are discussed.
一名65岁的肺栓塞女性患者在开始抗凝治疗5周后，出现了下肢皮肤和皮下组织广泛、极度疼痛的出血性坏死。根据临床和组织病理学检查结果以及疾病的发展过程，诊断为胆固醇栓塞。本文讨论了这一临床实体的特征及鉴别诊断要点。
