Nephrotic Syndrome Complicated by Pulmonary Embolism and Inferior Vena Cava Thrombosis: A Case Report

This article presents the case of a 52-year-old male who arrived at the emergency department with escalating chest pain and shortness of breath. An urgent CT scan revealed a right pulmonary embolism and inferior vena cava thrombus, prompting immediate anticoagulant therapy. Further diagnostic evaluations confirmed nephrotic syndrome (NS). The patient was discharged on apixaban, ramipril, amlodipine, and atorvastatin. A subsequent renal biopsy showed features consistent with minimal change disease, which resolved spontaneously without the need for steroid treatment. This case highlights the potentially life-threatening presentation of multiple venous thromboses as an initial manifestation of NS.