ICD-11 classes
11 Diseases of the circulatory system
Diseases of arteries or arterioles
BD53 — Secondary disorders of arteries and arterioles
BD53.4 — Cholesterol atheroembolism

ICD-11 BD53.4 — Cholesterol atheroembolism

Embolic occlusion of distal small arteries and arterioles by cholesterol crystals released from atherosclerotic plaque in larger more central arteries. The resultant microvascular ischaemia is accompanied by an inflammatory response to the presence of cholesterol crystals. This may occur spontaneously or as a complication of angiography or vascular surgery. Organs most commonly affected include the skin, kidneys, gastrointestinal tract, and brain. Cutaneous manifestations, present in the majority of cases, include livedo reticularis and focal ischaemic necrosis and ulceration; these are commonly associated with acute kidney injury.

The diagnosis includes nothing.

The diagnosis excludes nothing.

Diagnosis with code BD53.4 contains 3 clarifying diagnoses:

  1. BD53.40 — Cholesterol atheroembolism to kidneys
  2. BD53.4Y — Cholesterol atheroembolism to other specified sites
  3. BD53.4Z — Cholesterol atheroembolism to unspecified site

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