Yeungnam Univ J Med.  2016 Jun;33(1):25-28. 10.12701/yujm.2016.33.1.25.

Pulmonary thromboembolism combined with intracardiac thrombus occurred during the steroid reduction in nephrotic syndrome patient

Affiliations
  • 1Department of Internal Medicine, Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea. cisamoe@gmail.com

Abstract

Nephrotic syndrome is associated with a hypercoagulable state, which results in thromboembolism as one of its main complications. Various pathogenetic factors that cause the hypercoagulable state in nephrotic syndrome have been recognized. We report on a 19-year-old female with a minimal-change disease who developed pulmonary thromboembolism combined with intracardiac thrombus while on tapering steroid. Our patient showed hypoalbuminemia with an episode of shock, and was successfully treated with thrombolysis and anticoagulation therapy.

Keyword

Nephrotic syndrome; Pulmonary embolism; Thrombosis

MeSH Terms

Female
Humans
Hypoalbuminemia
Nephrotic Syndrome*
Pulmonary Embolism*
Shock
Thromboembolism
Thrombosis*
Young Adult
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