Acute limb ischemia presenting as a clinical conundrum: stroke mimic or aortic dissection?
Acute limb ischemia can mimic stroke and aortic dissection, requiring a broad differential diagnosis in patients with atrial fibrillation and transthyretin amyloid cardiomyopathy.A systematic vascular-anatomic approach helps identify embolic events when initial stroke imaging is negative.Acute ischemia may be indicated by lactic acidosis without hemodynamic instability, which should lead to additional vascular assessment.
Authors
- Ayumi Sakamoto (ORCID: https://orcid.org/0000-0003-0614-9861)
- Kevin Benavente (ORCID: https://orcid.org/0000-0003-4219-7780)
- Clarke Morihara (ORCID: https://orcid.org/0009-0006-6802-2726)
- Joseph C. Lee (ORCID: https://orcid.org/0000-0002-7683-8825)
- Nathan K. Itoga (ORCID: https://orcid.org/0000-0002-1036-0646)
- Bradley Fujiuchi
- Y. Hirao (ORCID: https://orcid.org/0009-0002-6539-1797)
Institutions
- University of Hawaiʻi at Mānoa (US)
- Queen's Medical Center (US)
Publication Details
- Journal
- European Journal of Case Reports in Internal Medicine
- Published
- 2025-03-26
- DOI
- https://doi.org/10.12890/2025_005317
- Citations
- 1
- Primary Topic
- Peripheral Artery Disease Management
- Type
- article
- Field-Weighted Citation Impact
- 2.01