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Trash foot

Authoring team

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:


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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