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미세변화신증에서 스테로이드 감량 중 발생한 심장내 혈전을 동반한 폐색전증
이세진 ( Se Jin Lee ),박지영 ( Ji Young Park ),유승기 ( Sung Kee Ryu ),최재웅 ( Jae Woong Choi ),채원영 ( Won Young Chae ),류희윤 ( Hee Yun Ryu ),유민석 ( Min Seok Yoo ),박윤석 ( Yoon Suk Bak ) 영남대학교 의과대학 2016 Yeungnam University Journal of Medicine Vol.33 No.1
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.