The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Cholesterol Crystal Embolization presenting as Focal Myositis and Foot Necrosis

국소 근염 및 괴사로 발현된 콜레스테롤 결정 색전증 1예

  • Kim, Su Hee (Department of Internal Medicine, Jeju National University School of Medicine) ;
  • Kim, Song Yi (Department of Internal Medicine, Jeju National University School of Medicine) ;
  • Jang, Eun Hee (Department of Internal Medicine, Jeju National University School of Medicine) ;
  • Lee, Jae Chun (Department of Internal Medicine, Jeju National University School of Medicine) ;
  • Yoo, So Yeon (Department of Internal Medicine, Jeju National University School of Medicine) ;
  • Kim, Hyun Woo (Department of Internal Medicine, Jeju National University School of Medicine)
  • 김수희 (제주대학교 의과대학 내과학교실) ;
  • 김송이 (제주대학교 의과대학 내과학교실) ;
  • 장은희 (제주대학교 의과대학 내과학교실) ;
  • 이재천 (제주대학교 의과대학 내과학교실) ;
  • 유소연 (제주대학교 의과대학 내과학교실) ;
  • 김현우 (제주대학교 의과대학 내과학교실)
  • Received : 2012.07.04
  • Accepted : 2012.09.24
  • Published : 2013.04.01
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Abstract

Cholesterol crystal embolism caused by showers of cholesterol emboli from an atherosclerotic aorta is a multisystem disorder that affects many organs. Common signs and symptoms on presentation include skin findings and renal failure. However, myositis due to a cholesterol embolism is uncommon. We report a rare case of cholesterol crystal embolism that presented with features of focal and foot necrosis in an 83-year-old woman.

콜레스테롤 색전증은 다발성으로 여러 장기에 영향을 미칠 수 있는 전신적 질환으로 콜레스테롤 색전증에 의한 피부 병변과 신부전은 흔한 소견인데 비해, 초기에 피부 병변을 동반하지 않은 근염 발생은 드물다. 저자들은 양하지 통증을 주소로 내원한 83세 여자 환자에서 처음에 피부 병변 없이 국소 근염 및 괴사소견을 보였던 흔하지 않은 콜레스테롤 색전증의 한 예를 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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