1. [Lower-limb arterial thrombosis in a relapse of nephrotic syndrome].
- Author
-
Haddad S, Ghédira-Besbes L, Lajmi K, Hammami S, Chouchene S, Ben Meriem C, and Guediche MN
- Subjects
- Anticoagulants therapeutic use, Child, Drug Therapy, Combination, Heparin therapeutic use, Humans, Male, Recurrence, Thrombosis diagnostic imaging, Thrombosis drug therapy, Treatment Outcome, Ultrasonography, Vasodilator Agents therapeutic use, Foot Injuries complications, Nephrotic Syndrome complications, Thrombosis etiology, Tibial Arteries diagnostic imaging
- Abstract
Introduction: Venous thromboembolic complications are well-known in patients with nephrotic syndrome. Arterial thrombosis has rarely been reported and is mainly observed in adults., Case Report: A 9-year-old patient with a history of steroid-dependent nephrotic syndrome was admitted after foot trauma. He presented with severe pain in his right foot, which was cold and mottled, with reduced sensation and motor activity. No pulse was palpable in his right foot. Doppler's ultrasonography confirmed the thrombosis of anterior and posterior tibial arteries in their distal portions. The patient received treatment with an arterial vasodilator and heparin, followed by antivitamin K therapy., Conclusion: Arterial thrombosis is a rare complication in children with nephrotic syndrome. It is presumably attributable to a hypercoagulable state and trauma., (Copyright © 2010 Elsevier Masson SAS. All rights reserved.)
- Published
- 2010
- Full Text
- View/download PDF