title: Successfully treated femoral artery thrombosis in a patient with minimal change nephrotic syndrome.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Sanbon Hospital, Wonkwang University College of Medicine, Gunpo, Korea.
authors.forename: Ji Kyoung
authors.initials: JK
authors.lastname: Lee
authors.forename: Moon Seong
authors.initials: MS
authors.lastname: Baek
authors.forename: Young Mi
authors.initials: YM
authors.lastname: Mok
authors.forename: Sung-Ai
authors.initials: SA
authors.lastname: Kim
authors.forename: Beom Jin
authors.initials: BJ
authors.lastname: Lim
authors.forename: Ji Eun
authors.initials: JE
authors.lastname: Lee
authors.forename: Hyunwook
authors.initials: H
authors.lastname: Kim
keywords: Nephrosis, lipoid; Nephrotic syndrome; Peripheral arterial disease