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2635 pages added, reviewed or updated during the last month (last updated: 16/4/2021)


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trash foot

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This may occur as a complication of an interventional procedure e.g. aortic aneurysmal surgery, coronary catheterization. It is caused by the lodging of distal emboli that may cause infarction of the whole foot.

  • trash foot - triad of thigh and foot pain, livedo reticularis, and intact peripheral pulses is considered to be pathognomonic for cholesterol embolisation

Diagnosis

  • laboratory tests that may aid in the diagnosis of cholesterol emboli syndrome include eosinophilia, eosinophiluria, increased sedimentation rate, and decreased complement concentrations

Treatment:

  • multiple treatment regimens have been generally unsuccessful in altering the course of the disease process
    • most significant impact on the disease can be made by its prevention
    • thrombolytic and anticoagulant treatments are not indicated and only supportive care for such symptoms as hypertension, ulceration, and gangrene is advocated (1)
  • amputation of affected lower limb may be necessary; an end-diastolic pneumatic boot has been used as an alternative to amputation (2)

Reference:

Last reviewed 01/2018

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