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KMID : 0363220150530010066
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Korean Journal of Dermatology
2015 Volume.53 No. 1 p.66 ~ p.68
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Blue Toe Syndrome after Percutaneous Coronary Intervention
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Lee Hyun-Joo
Kim Won-Jeong
Mun Je-Ho
Kim Hoon-Soo
Ko Hyun-Chang
Kim Byung-Soo
Kim Moon-Bum
Song Margaret
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Abstract
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Blue toe syndrome involves blue or purplish toes in the absence of trauma, serious cold exposure, or disorderscausing general cyanosis. Clinical presentation can range from a cyanotic toe to a diffuse, multi-organ systemicdisease. A 75-year-old man presented with claudication, sudden bilateral painful discoloration of the sole, bluecoloredtoes, and anuria. Three weeks earlier, he had been diagnosed with acute myocardial infarction and hadundergone catheterization for percutaneous coronary intervention. Histopathologic findings showed vascular ectasiawith mild perivascular inflammation. Based on patient history, physical examination, and laboratory findings, he wasdiagnosed with blue toe syndrome. Our patient presented with clinical manifestations, including peripheral cutaneousinvolvement and acute deterioration of renal function. This case highlights the importance of prompt diagnosis ofblue toe syndrome by careful history-taking and physical examination in order to avoid multi-organ systemic disease. (Korean J Dermatol 2015;53(1):66∼68)
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KEYWORD
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Atheroembolism , Blue toe syndrome , Hollenhorst plaques
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