A very rare unexpected fatal complication of nephrotic syndrome

Urine examination showed 3+ albumin, 10–12 erythrocytes/hpf, and 5-6 white blood cells/hpf, and spot urine protein creatinine ratio was 12.3. {Figure 1} Renal biopsy findings: on light microscopy, glomeruli showed mild and variable increase in mesangial matrix with a uniform and diffuse thickening o...

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Published inIndian journal of nephrology Vol. 29; no. 6; pp. 435 - 437
Main Authors Etta, Praveen, Reddy, Sujeeth, Rao, Mulpuru, Thatipamula, Madhavi
Format Journal Article
LanguageEnglish
Published Mumbai Wolters Kluwer India Pvt. Ltd 01.11.2019
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Wolters Kluwer - Medknow
Subjects
Anticoagulants
Apixaban
Biopsy
Edema
Hypertension
Kidney diseases
Kidneys
Letter to Editor
Nephrotic syndrome
Patients
Renal artery obstruction
Rivaroxaban
Thrombosis
Urine
Veins & arteries
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Summary:Urine examination showed 3+ albumin, 10–12 erythrocytes/hpf, and 5-6 white blood cells/hpf, and spot urine protein creatinine ratio was 12.3. {Figure 1} Renal biopsy findings: on light microscopy, glomeruli showed mild and variable increase in mesangial matrix with a uniform and diffuse thickening of basement membrane having subepithelial spikes suggestive of MN. Severity of hypoalbuminemia is an independent risk factor; a serum albumin concentration of ≤2.8 g/dL was identified as the threshold level for increased risk in patients with MN.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0971-4065
1998-3662
DOI:10.4103/ijn.IJN_45_19