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.
MeSH terms
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Adult
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Amyloidosis / complications*
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Anticoagulants / therapeutic use
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Arterial Occlusive Diseases / blood
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Arterial Occlusive Diseases / etiology*
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Arterial Occlusive Diseases / therapy
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Blood Coagulation
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Brachial Artery
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Embolectomy
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Embolism / blood
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Embolism / etiology*
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Embolism / therapy
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Fatal Outcome
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Female
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Femoral Artery
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Heart Diseases / blood
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Heart Diseases / etiology*
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Heart Diseases / therapy
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Humans
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Kidney / blood supply
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Lower Extremity / blood supply
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Nephrotic Syndrome / blood
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Nephrotic Syndrome / complications*
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Nephrotic Syndrome / etiology
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Reoperation
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Thrombosis / blood
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Thrombosis / etiology*
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Thrombosis / therapy
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Treatment Outcome
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Upper Extremity / blood supply