Perplexing papules and plaques.
Dermatologic diseases are capable of presenting in a variety of clinical and pathologic guises. We present the clinicopathologic features of an unusual case misinterpreted initially as a dermal hypersensitivity reaction that was later deemed to be the cholesterol emboli syndrome. Salient histologic features of this case were the presence of numerous dermal eosinophils and the diagnostic finding of an intravascular cholesterol embolus. The presence of dermal eosinophilia should prompt a search for cholesterol emboli in the appropriate context.
Tran
Thi
T
Suncoast Hospital Dermatology Residency, Florida, USA.
Morgan
James
J
Morgan
Michael B
MB
D000368:Aged; D017449:Dermatitis, Allergic Contact / Q000473:pathology; D003937:Diagnosis, Differential; D017700:Embolism, Cholesterol / Q000150:complications / Q000473:pathology*; D004802:Eosinophilia / Q000473:pathology; D005260:Female; D006801:Humans; D012867:Skin / Q000098:blood supply / Q000473:pathology; D012871:Skin Diseases / Q000209:etiology / Q000473:pathology*; D014699:Venules / Q000473:pathology