빠른 체중 감량 후 발생된 급성 신정맥 혈전증과 폐 혈전색전증
Acute Renal Vein Thrombosis and Pulmonary Thromboembolism in a Patient with Rapid Weight Loss
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Renal vein thrombosis (RVT) is rare and primarily observed in children with severe dehydration or in adults in a hypercoagulable state. This diagnosis is rarely considered when it occurs in adults. We report a case of a young man who had weight loss of 8 kg in 2 weeks accompanied by dehydration with excessive exercise, and he developed a right RVT with a pulmonary thromboembolism. The man had a 3-year history of essential hypertension and was admitted to the hospital because of severe right-flank pain. A RVT and pulmonary thromboemboli were visualized by computed tomography. No abnormal results were observed on coagulation tests, and no evidence of malignancy was found. We concluded that the RVT and pulmonary thromboembolism were induced by dehydration. Even though the patient was an adult, rapid weight loss with dehydration may cause RVT and unusual thromboembolic events must be suspected to avoid a delay in the diagnosis. (Korean J Med 2012;83:510-513)
Abstract
Renal vein thrombosis (RVT) is rare and primarily observed in children with severe dehydration or in adults in a hypercoagulable state. This diagnosis is rarely considered when it occurs in adults. We report a case of a young man who had weight loss of 8 kg in 2 weeks accompanied by dehydration with excessive exercise, and he developed a right RVT with a pulmonary thromboembolism. The man had a 3-year history of essential hypertension and was admitted to the hospital because of severe right-flank pain. A RVT and pulmonary thromboemboli were visualized by computed tomography. No abnormal results were observed on coagulation tests, and no evidence of malignancy was found. We concluded that the RVT and pulmonary thromboembolism were induced by dehydration. Even though the patient was an adult, rapid weight loss with dehydration may cause RVT and unusual thromboembolic events must be suspected to avoid a delay in the diagnosis. (Korean J Med 2012;83:510-513)
참고문헌 (8)
- Asghar M, "Renal vein thrombosis", Eur J Vasc Endovasc Surg, 34, pp.217~223 (2007)
- Erlinger S, "Gallstones in obesity and weight loss", Eur J Gastroenterol Hepatol, 12, pp.1347~1352 (2000)
- Van Itallie TB, "Cardiac dysfunction in obese dieters: a potentially lethal complication of rapid, massive weight loss", Am J Clin Nutr, 39, pp.695~702 (1984)
- Eckel RH., "Clinical practice: nonsurgical management of obesity in adults", N Engl J Med, 358, pp.1941~1950 (2008)
- Thrall G, "A systematic review of the prothrombotic effects of an acute change in posture: a possible mechanism underlying the morning excess in cardiovascular events?", Chest, 132, pp.1337~1347 (2007)
- Mahmoud Ezzat I, "Acute renal vein thrombosis in adults", Int Urol Nephrol, 18, pp.243~253 (1986)
- Böhler J, "Renal vein thrombosis in a dehydrated patient on an oral contraceptive agent", Nephrol Dial Transplant, 4, pp.993~995 (1989)
- Kauffmann RH, "Unilateral renal vein thrombosis and nephrotic syndrome : report of a case with protein selectivity and antithrombin III clearance studies", Am J Med, 60, pp.1048~1054 (1976)