Cholesterol emboli

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  • Risk factors
    • Aging, atherosclerosis; after endovascular (aortic) procedure or anticoagulation
  • Clinical features
    • “A great masquarder”
  • Cerebral transient ischemic attacks; livedo reticularis in the lower extremities; Hollenhorst plaques in the retina with visual field cuts; necrosis of the toes
  • Acute glomerular capillary injury leading to focal glomerulosclerosis, hematuria, mild proteinuria, ARF or CRF
  • Treatment
    • None available
  • Prevention
    • Controlling BP and lipids, stop smoking
  • Am Soc Nephrol 12:1781-1787, 2001: Atheroembolic Renal Disease