This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Cardiovascular System  • Cardiac Diagnostic Tests  • Venous Thromboembolism  • Dermatology, Other  • Alert me on articles by topic

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

A 63-year-old man presented with several purpuric lesions on the right palm and fingers. One day before his visit, the patient had percutaneous cardiac catheterization for angina through his right brachial artery using a 5F catheter, and following this operation, he noticed the skin lesions. Physical examination disclosed that each lesion was about 5 mm in diameter with mild induration and tenderness (Figure 1).

Figure appears in full text version. Figure 1. Several purpuric lesions appear on the right palm after cardiac catheterization.

A skin biopsy specimen from the ventral surface of the right second finger showed an embolism with enfolded tubelike architecture in the deep dermis (Figure 2A). This architecture was involved in a vessel with a thick wall containing muscle cells, presumably a small artery (Figure 2B). This substance was a low-staining, thin, lacy, and filamentous material. Negative findings on polariscopic examination ruled out lipid, silica, amyloid, and . . . [Full Text of this Article]

AUTHOR INFORMATION
Hideaki Tanizaki, MD; Kenji Kabashima, MD; Kenzo Takahashi, MD; Takaki Sakurai, MD; Yoshiki Tokura, MD; Yoshiki Miyachi, MD