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Updated: May 14, 2026

Clinical Application of Phase Angle and BIVA Z-Score Analyses in Patients Admitted to an Emergency Department with Acute Heart Failure
Published on: June 30, 2023
[Fever, abdominal livedo and eosinophilia in a 79-year-old man with pronounced vascular risk profile]
Simona Jahnke1, Lars Christian Huber1, Cédric Steinmann1
1Departement Innere Medizin, Stadtspital Zürich Triemli, Zürich, Schweiz.
Abstract:
We describe the case of a 79-year-old patient referred by a general practitioner because of chills, fever up to 39.2°C and nausea.Diagnostic workup revealed peripheral eosinophilia, abdominal livedo reticularis and a pronounced vascular risk profile with generalised arteriosclerosis. The patient was admitted to the hospital, diagnostic tests were performed, and management decisions were made.Atheroembolic disease with spontaneous cholesterol embolism.Depending on the source and size of the embolism as well as the localisation of the vascular occlusion, multiple symptoms are described in different organ systems. Skin manifestations (livedo, "blue toes") are the most common clinical manifestation. Diagnosis is confirmed by tissue biopsy. Treatment is symptomatic. Cornerstone is the aggressive reduction of cardiovascular risk factors.
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