Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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Pulmonary thromboembolism combined with intracardiac thrombus occurred during the steroid reduction in nephrotic syndrome patient

미세변화신증에서 스테로이드 감량 중 발생한 심장내 혈전을 동반한 폐색전증

  • Lee, Se Jin (Department of Internal Medicine, Eulji Medical Center, Eulji University School of Medicine) ;
  • Park, Ji Young (Department of Internal Medicine, Eulji Medical Center, Eulji University School of Medicine) ;
  • Ryu, Sung Kee (Department of Internal Medicine, Eulji Medical Center, Eulji University School of Medicine) ;
  • Choi, Jae Woong (Department of Internal Medicine, Eulji Medical Center, Eulji University School of Medicine) ;
  • Chae, Won Young (Department of Internal Medicine, Eulji Medical Center, Eulji University School of Medicine) ;
  • Ryu, Hee Yun (Department of Internal Medicine, Eulji Medical Center, Eulji University School of Medicine) ;
  • Yoo, Min Seok (Department of Internal Medicine, Eulji Medical Center, Eulji University School of Medicine) ;
  • Bak, Yoon Suk (Department of Internal Medicine, Eulji Medical Center, Eulji University School of Medicine)
  • 이세진 (을지대학교 의과대학 을지병원 내과학교실) ;
  • 박지영 (을지대학교 의과대학 을지병원 내과학교실) ;
  • 유승기 (을지대학교 의과대학 을지병원 내과학교실) ;
  • 최재웅 (을지대학교 의과대학 을지병원 내과학교실) ;
  • 채원영 (을지대학교 의과대학 을지병원 내과학교실) ;
  • 류희윤 (을지대학교 의과대학 을지병원 내과학교실) ;
  • 유민석 (을지대학교 의과대학 을지병원 내과학교실) ;
  • 박윤석 (을지대학교 의과대학 을지병원 내과학교실)
  • Received : 2014.10.10
  • Accepted : 2015.01.19
  • Published : 2016.06.30
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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.

Keywords

References

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