ABSTRACT
Background: Cholesterol embolization syndrome is a rare and under-diagnosed clinical entity. Vascular procedures such as angiography of vascular surgery have been identified as triggering factor. Case report: A 71-year-old man presented with acute ST segment elevated anterior myocardial infarction and coronary stenting was performed. At the clinic follow-up, coloured skin lesions were observed at both hands and feet. During follow-up, progressive deterioration in renal functions also developed gradually. Supportive therapy was provided in addition to standard treatment for myocardial infarction. Conclusion: In conclusion cholesterol embolization syndrome should be considered in any patient presenting with cutaneous features and renal failure after invasive vascular procedure.