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KMID : 0882420100780010122
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Korean Journal of Medicine
2010 Volume.78 No. 1 p.122 ~ p.126
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A case of lupus nephritis with IVC and bilateral renal vein thrombosis
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Lee Seung-Ho
Jang Jong-Soon
Lee Shin-Young
Kwon Soon-Kil
Kim Hye-Young
Ryu Dong-Hee
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Abstract
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Renal vein and inferior vena cava thrombosis are possible complications of nephrotic syndrome related to either primary glomerulonephritis or glomerulonephritis associated with systemic disease. However, renal vein and inferior vena cava thrombosis associated with systemic lupus erythematosus are rare. We experienced a case of bilateral renal vein and inferior vena cava thrombosis associated with systemic lupus erythematosus. A previously healthy 21-year-old female developed sudden flank pain without edema. Abdominal computed tomography (CT) showed bilateral renal vein and inferior vena cava thrombosis. She was diagnosed with systemic lupus erythematosus with nephrotic syndrome based on the clinical manifestations and laboratory findings. After anticoagulation therapy with heparin and insertion of an inferior vena cava filter, the thrombus improved markedly. There is a possibility of renal vein and inferior vena cava thrombosis in the clinical course of nephrotic syndrome caused by lupus nephritis. (Korean J Med 78:122-126, 2010)
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KEYWORD
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Lupus Erythematosus, systemic, Venous thrombosis, Nephrotic Syndrome
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