A 70-year-old man with hypertension presents with acute kidney injury, eosinophilia (WBC 8,500/μL with 12% eosinophils), and livedo reticularis of bilateral feet two days after cardiac catheterization for angina. Vital signs: BP 158/92, HR 98, RR 18, Temp 37.2°C, SpO2 98% on room air. Distal pulses remain palpable bilaterally. He denies rash, fever, or constitutional symptoms. Creatinine increased from 1.1 to 2.8 mg/dL. Which diagnosis best explains this clinical presentation?
- A)Infective endocarditis
- B)Cholesterol embolization syndromeGABARITO
- C)Acute arterial thrombosis
- D)Deep venous thrombosis
- E)Contrast induced nephropathy
Explicação
Cholesterol embolization syndrome is correct. Vascular manipulation can dislodge cholesterol crystals from atherosclerotic plaques, causing small vessel embolization with livedo reticularis, renal dysfunction, eosinophilia, and preserved large vessel pulses. T... Ver explicação completa e trilha adaptativa →