RENAL ATHEROEMBOLIC DISEASE

Renal cholesterol embolism is a rare disease with a high mortality occ urring as a complication of severe generalized arteriosclerotic diseas e. We report the case of a 65 year old man who developed systemic chol esterol embolic disease and acute renal failure after coronary angiogr aphy. He presented with hypertension, livedo reticularis, finger infar cts, progressive renal failure requiring dialysis, eosinophilia, eosin ophiluria and retinal emboli; the skin biopsy revealed cholesterol cle fts in the dermal vasculature surrounded by inflammatory infiltrate. E ight months later the patient remains on hemodialysis and he has surge ry of coronary vessels and abdominal aortic aneurysm, with no complica tions.