미세변화신증에서 스테로이드 감량 중 발생한 심장내 혈전을 동반한 폐색전증
Pulmonary thromboembolism combined with intracardiac thrombus occurred during the steroid reduction in nephrotic syndrome patient
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
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.
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.
참고문헌 (14)
- Andrassy K, "Hypercoagulability in the nephrotic syndrome", Klin Wochenschr, 58, pp.1029~1036 (1980)
- Egli F, "Thromboembolism in the nephrotic syndrome", Pediatr Res, 8, pp.903~ (1974)
- Kendall AG, "Nephrotic syndrome. A hypercoagulable state", Arch Intern Med, 127, pp.1021~1027 (1971)
- Orth SR, "The nephrotic syndrome", N Engl J Med, 338, pp.1202~1211 (1998)
- Kim HJ, "Arterial thrombosis associated with nephrotic syndrome--a case report and review (adult cases in the English literature)", J Korean Med Sci, 8, pp.230~234 (1993)
- Kim YK, "Arterial thromboses in nephrotic syndrome", Korean J Nephrol, 6, pp.153~159 (1987)
- Yoo HW, "Pulmonary thrombolism in nephrotic syndrome", Korean J Nephrol, 7, pp.194~198 (1988)
- Kauffmann RH, "Acquired antithrombin III deficiency and thrombosis in the nephrotic syndrome", Am J Med, 65, pp.607~613 (1978)
- Llach F., "Hypercoagulability, renal vein thrombosis, and other thrombotic complications of nephrotic syndrome", Kidney Int, 28, pp.429~439 (1985)
- Kasper W, "Echocardiography in assessing acute pulmonary hypertension due to pulmonary embolism", Am J Cardiol, 45, pp.567~572 (1980)
- Cameron J, "Right heart thrombus: recognition, diagnosis and management", J Am Coll Cardiol, 5, pp.1239~1243 (1985)
- Aoyagi S, "Right atrial thrombus associated with combined valvular disease:case report", J Heart Valve Dis, 10, pp.542~544 (2001)
- Hung MJ, "Large right atrial thrombus with pulmonary embolism", Echocardiography, 17, pp.329~334 (2000)
- 김태균, "Treatment of pulmonary thromboembolism using Arrow-Trerotola percutaneous thrombolytic device", Yeungnam University Journal of Medicine, 31(1), pp.28~32 (2014), 영남대학교 의과대학[DOI]