[Lower limb arterial thrombosis in a nephrotic syndrome].
Thromboembolic complications are frequent in the nephrotic syndrome. Arterial localizations have been rarely reported. There is no consensus on their management; it depends on the location and hypercoagulable state. We report a case of acute lower limb ischemia occurring in children with a history of nephrotic syndrome, complicated by toes necrosis. The diagnosis was made by Doppler ultrasonography. Thrombectomy was performed and the patient received an anticoagulant treatment. Local cares have improved the local state, avoiding surgical necrosectomy.
Unité de néphrologie pédiatrique, service de pédiatrie B, faculté de médecine et de pharmacie, hôpital mère-enfant, université Cadi Ayyad, CHU Mohammed VI, Sidi abbad 4000, BP 7010, Marrakech, Maroc. Electronic address: arrab_raja@yahoo.fr.
Raja
R
Arrab
Unité de néphrologie pédiatrique, service de pédiatrie B, faculté de médecine et de pharmacie, hôpital mère-enfant, université Cadi Ayyad, CHU Mohammed VI, Sidi abbad 4000, BP 7010, Marrakech, Maroc.
Aicha
A
Bourrahouate
Unité de néphrologie pédiatrique, service de pédiatrie B, faculté de médecine et de pharmacie, hôpital mère-enfant, université Cadi Ayyad, CHU Mohammed VI, Sidi abbad 4000, BP 7010, Marrakech, Maroc.
Mohamed
M
Sbihi
Unité de néphrologie pédiatrique, service de pédiatrie B, faculté de médecine et de pharmacie, hôpital mère-enfant, université Cadi Ayyad, CHU Mohammed VI, Sidi abbad 4000, BP 7010, Marrakech, Maroc.
Imane
I
Ait Sab
D002648:Child; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D009404:Nephrotic Syndrome / Q000150:complications*; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology*
Anticoagulant therapy; Arterial thrombosis; Nephrotic syndrome; Syndrome néphrotique; Thrombose artérielle; Traitement anticoagulant