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(A) Livedo reticularis on the left foot. (B) Cyanotic left fifth toe with purpura. (C) the biopsy specimen from the left fifth toe revealed that a small artery in a deep dermis contained biconvex, needle-shaped clefts (arrow), hyperplastic intimal proliferation and slight inflammatory infiltrates and erythrocytes within a vessel.

(A) Livedo reticularis on the left foot. (B) Cyanotic left fifth toe with purpura. (C) the biopsy specimen from the left fifth toe revealed that a small artery in a deep dermis contained biconvex, needle-shaped clefts (arrow), hyperplastic intimal proliferation and slight inflammatory infiltrates and erythrocytes within a vessel.

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Cholesterol embolization syndrome (CES) is caused by a cholesterol crystal embolization from atherosclerotic plaques on the walls of arteries. It often occurs after an invasive vascular procedure. CES exhibits several cutaneous manifestations before systemic symptoms take place. Here, we report a case of CES, positive for an anti-cardiolipin antibo...

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