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KMID : 0880520130490010050
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Chonnam Medical Journal
2013 Volume.49 No. 1 p.50 ~ p.53
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Successfully Treated Femoral Artery Thrombosis in a Patient with Minimal Change Nephrotic Syndrome
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Lee Ji-Kyoung
Baek Moon-Seong
Mok Young-Mi
Kim Sung-Ai
Lim Beom-Jin
Lee Ji-Eun
Kim Hyun-Wook
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Abstract
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In contrast to widely recognized venous thrombotic complications, peripheral arterial thrombosis as a complication of nephrotic syndrome, especially without preceding iatrogenic venous puncture, corticosteroid treatment, or coagulation factor abnormalities, has rarely been reported in adult female patients. We report the case of a 39-year-old woman who presented with pain in the right lower leg accompanied by minimal change nephrotic syndrome. Lower-extremity angiography showed total occlusion of the right superficial femoral artery. Thrombectomy was performed with a balloon catheter, and the thrombi were successfully aspirated. Our experience indicates that even if few traditional risk factors for atherosclerosis are identified, a high index of suspicion and aggressive treatment of arterial thrombosis in adult nephrotic syndrome are crucial to minimize serious ischemic injuries.
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KEYWORD
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Nephrotic syndrome, Nephrosis, lipoid, Peripheral arterial disease
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