BMJ Case Reports 2017; doi:10.1136/bcr-2017-222128
  • Images in…

Cholesterol embolism: it’s always a good idea to look into the eye

  1. Franco Lotta2
  1. 1 Department of Internal Medicine, Texas Tech University at the Permian Basin, Odessa, Texas, USA
  2. 2 Department of Critical Care Medicine, Centro Policlinico Valencia "La Viña", Valencia, Venezuela
  1. Correspondence to Dr Alfredo Iardino, alfredo.iardino{at}
  • Accepted 3 September 2017
  • Published 21 September 2017


Atheroembolism is a rare but feared complication of arteriography, causing a myriad of signs and symptoms including livedo reticularis, abdominal pain, cyanosis of the toes and renal injury. The main cause is a rupture of atherosclerotic plaque in vessel walls and its embolisation to small diameter vessels affecting more frequently skin and kidneys.1 Here, we present a 69-year-old Hispanic male with medical history of hypertension, type 2 diabetes mellitus and unstable angina status post drug-eluting stent in the left anterior descending coronary artery placement 10 days prior to …

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