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Published on: May 6, 2018
The nephrotic syndrome: an unusual case of multiple embolic events
Jean-Claude D Schwartz1, Amy D Wyrzykowski, Christopher J Dente
1Emory University School of Medicine, Department of Surgery, Grady Memorial Hospital, Atlanta, Georgia 30303, USA.
Abstract:
The nephrotic syndrome is an unusual cause of the hypercoaguable state and thromboembolic complications. Here we report the case of a 42-year-old woman with nephrotic syndrome who presented with a pulseless lower extremity and a midpole renal infarct requiring urgent embolectomy of the leg. During her embolic evaluation, she was found to have an intracardiac thrombus. Over the course of her hospitalization, she developed a pulseless upper extremity and required an embolectomy of her arm. We believe that this represents the first case report of a patient with nephrotic syndrome, intracardiac thrombus, and evidence of embolization to 3 sites: kidney, arm, and leg.
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