Performing Anticoagulation: A Puzzling Case of Cholesterol Embolization Syndrome

Author:

Igarashi Yusuke1,Akimoto Tetsu1,Kobayashi Takahisa1,Iwazu Yoshitaka1,Miki Takuya1,Otani-Takei Naoko1,Imai Toshimi1,Sugase Taro1,Masuda Takahiro1,Takeda Shin-ichi1,Muto Shigeaki1,Nagata Daisuke1

Affiliation:

1. Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Shimotsuke-Shi, Japan

Abstract

The avoidance of any form of anticoagulation is advised in cases of cholesterol embolization syndrome (CES). We herein describe a case of CES in a man with a history of unprovoked pulmonary embolism for which warfarinization was performed. Despite anecdotal reports of successful anticoagulation in CES patients with certain indications, irreversible renal failure, which was sufficiently severe to require chronic hemodialysis, eventually developed in our patient. Our results emphasize the pitfalls of this procedure, which imply its limited feasibility and safety. Several therapeutic concerns associated with this case are also discussed.

Publisher

SAGE Publications

Subject

General Medicine

Cited by 5 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Cholesterol Atheroembolism Syndrome: Current State of the Problem;The Russian Archives of Internal Medicine;2020-07-30

2. Eosinophilia and Kidney Disease: More than Just an Incidental Finding?;Journal of Clinical Medicine;2018-12-08

3. Renal Cholesterol Embolism during Warfarin Treatment;Journal of the Korean Neurological Association;2018-08-01

4. Iatrogénie cutanée des traitements antithrombotiques;Revue Francophone de Cicatrisation;2018-01

5. Warfarin;Reactions Weekly;2017-12

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