Pérez Villoria J, Ayuela Azcárate J M, López Pueyo M J, Téllez García J M, Pérez Ojeda G, Arias Martínez-Mata J, Busto Sáiz P, Fernández Almeida A
Sección de Cardiología, Hospital General Yagüe, Burgos.
Rev Esp Cardiol. 1993 Mar;46(3):205-8.
We present a case of cholesterol crystal embolization confirmed histologically by skin biopsy and by the presence of a yellowish microemboli with a refringent look lodged inside a retinal arterioles. The presence of a typical clinic case history, together concurrent risk factor (coronarography, implantation of stent and anticoagulation) supported the diagnostic suspicion. Although it is a serious illness, often with a fatal evolution, the patient has followed a favourable clinic course.
我们报告一例经皮肤活检组织学确诊的胆固醇结晶栓塞病例,视网膜小动脉内可见具有折光外观的淡黄色微栓子。典型的临床病例史以及并存的危险因素(冠状动脉造影、支架植入和抗凝治疗)支持诊断怀疑。尽管这是一种严重疾病,通常预后不良,但该患者的临床病程良好。