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Correspondence
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Volume 339:1857-1858 December 17, 1998 Number 25
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Case 24-1998: Cholesterol Atheroembolism

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To the Editor: Cholesterol atheroembolism has repeatedly been featured in review articles1 and clinical pathological conference (CPC) cases in the Journal.2 The July 30 CPC3 is a reminder that discussants eliminate cholesterol atheroembolism from their differential diagnosis only at great peril in a patient with renal failure and blue toes.2,4 In his otherwise highly informative discussion, Dr. Wong followed a probabilistic approach to reach a diagnosis. He rejected the diagnosis of cholesterol atheroembolism because "survival after cholesterol embolism is very unlikely." Although this statement was accurate when the diagnosis could be made only at autopsy, it does not reflect the . . . [Full Text of this Article]

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