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A Case Report

Michael W. Rosenberg, MD; Dhiraj M. Shah, MD

JAMA. 1980;243(4):365-366.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

IN 1945, Flory¹ described episodes of multiple emboli of atheromatous material to small arteries. Although these arteries perfused visceral organs, Flory speculated that emboli of cholesterol crystals not only may produce infarcts of visceral organs, but also may be implicated in the production of gangrenous toes or limbs. In 1959, Hoyle et al² confirmed this concept clinically when they reported the first case of distal extremity embolization originating from an eroded atherosclerotic plaque. As late as 1976, however, Mehigan and Stoney³ noted that acute focal ischemia secondary to embolization from nonocclusive atherosclerotic lesions from the arterial tree is frequently overlooked.

This article illustrates that repeated attacks of acute ischemic changes evenly distributed to both lower extremities should alert one to consider microemboli as a cause of the problem.

Report of a Case

A 48-year-old man had been admitted to the hospital in 1962 with a long history . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Surgery, Albany (NY) Veterans Medical Center and Albany Medical College.

Footnotes
Reprint requests to Department of Surgery, Albany Veterans Medical Center, 113 Holland Ave, Albany, NY 12208 (Dr Shah).

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