{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T00:10:10Z","timestamp":1748477410939,"version":"3.41.0"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"13","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Wir beschreiben den Fall eines 79-j\u00e4hrigen Patienten, der haus\u00e4rztlich aufgrund von Sch\u00fcttelfrost, Fieber bis 39,2\u00b0C und \u00dcbelkeit zugewiesen wird.<\/jats:p><jats:p>Klinisch und bildgebend fehlen Hinweise auf einen Entz\u00fcndungsfokus. Prominent bestehen eine Eosinophilie, eine abdominelle Livedo reticularis und ein ausgepr\u00e4gtes vaskul\u00e4res Risikoprofil mit generalisierter Arteriosklerose.<\/jats:p><jats:p>Klinisch wird der Verdacht auf eine spontane Cholesterinembolie (CE) gestellt.<\/jats:p><jats:p>Abh\u00e4ngig von der Quelle und Gr\u00f6\u00dfe der Embolie sowie der Lokalisation des Gef\u00e4\u00dfverschlusses pr\u00e4sentieren sich vielf\u00e4ltige Symptome verschiedener Organsysteme. Hautmanifestationen (Livedo, \u201eblue toes\u201c) sind das h\u00e4ufigste klinische Zeichen. Die Diagnose kann nur durch eine Biopsie best\u00e4tigt werden. Die Therapie ist symptomatisch; vordergr\u00fcndig ist eine aggressive Reduktion der kardiovaskul\u00e4ren Risikofaktoren.<\/jats:p>","DOI":"10.1055\/a-2564-2355","type":"journal-article","created":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T23:45:43Z","timestamp":1748475943000},"page":"754-757","source":"Crossref","is-referenced-by-count":0,"title":["Fieber, abdominelle Livedo und Eosinophilie bei einem 79-j\u00e4hrigen Mann mit ausgepr\u00e4gtem vaskul\u00e4ren Risikoprofil"],"prefix":"10.1055","volume":"150","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9300-9018","authenticated-orcid":false,"given":"Simona","family":"Jahnke","sequence":"additional","affiliation":[{"name":"Departement Innere Medizin, Stadtspital Z\u00fcrich Triemli, Z\u00fcrich, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars Christian","family":"Huber","sequence":"additional","affiliation":[{"name":"Departement Innere Medizin, Stadtspital Z\u00fcrich Triemli, Z\u00fcrich, 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