Arterial thrombosis associated with nephrotic syndrome; a case report and review (adult cases in the English literature).
10.3346/jkms.1993.8.3.230
- Author:
Ho Jung KIM
1
;
Chan Hyun PARK
;
Chong Myung KANG
;
Han Chul PARK
;
Cheong Yong KIM
;
Yang Sik CHO
Author Information
1. Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
- Publication Type:Case Reports ; Review
- Keywords:
Arterial thromboses;
Nephrotic syndrome;
Adult;
Mesenteric artery
- MeSH:
Humans;
Male;
*Mesenteric Artery, Superior;
Middle Aged;
Nephrotic Syndrome/*complications;
Thrombosis/*etiology
- From:Journal of Korean Medical Science
1993;8(3):230-234
- CountryRepublic of Korea
- Language:English
-
Abstract:
The thromboembolic complications of nephrotic syndrome are reasonably common, including spontaneous peripheral venous and/or arterial, pulmonary arterial, and renal venous occlusions. However, in comparison to the relatively high incidence of the venous thromboembolic complications with hypercoagulable status, arterial thromboses have been reported much less and it was only 20 cases in the English literature so far. Furthermore, the most cases were pediatric patients rather than adults. Therefore, this report describes an adult nephrotic cases complicated by superior mesenteric artery thrombosis leading to death via catastrophic hospital course. Also, we reviewed the literature in English regarding cases of arterial thromboses in adult nephrotic patients with special interest to locations of thrombosis, underlying histopathologic types of glomerulopathy, and use of steroids or diuretics before its development.