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Original Article
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Korean J Med. 2010;78(1):122-126.
- 하대정맥과 양쪽 신정맥의 혈전으로 발견된 루푸스 신염 1예
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이승호, 장종순, 이신영, 권순길, 김혜영, 류동희
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- A case of lupus nephritis with IVC and bilateral renal vein thrombosis
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Seung Ho Lee, Jong Soon Jang, Shin Young Lee, Soon Kil Kwon, Hye-Young Kim, Dong Hee Ryu
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- Abstract
- 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)
Keywords :Lupus Erythematosus, systemic, Venous thrombosis, Nephrotic Syndrome
