AI Article Synopsis
- A 52-year-old man presented to the emergency department with chest pain and shortness of breath, leading to a CT scan that revealed a right pulmonary embolism and inferior vena cava thrombus.
- Following the diagnosis, the patient started emergency anticoagulant therapy and was later diagnosed with nephrotic syndrome (NS).
- A renal biopsy confirmed minimal change disease, which resolved on its own, underscoring the serious nature of NS as it can first manifest through significant venous blood clots.
Article Abstract
This article presents the case of a 52-year-old male who arrived at the emergency department with escalating chest pain and shortness of breath. An urgent CT scan revealed a right pulmonary embolism and inferior vena cava thrombus, prompting immediate anticoagulant therapy. Further diagnostic evaluations confirmed nephrotic syndrome (NS). The patient was discharged on apixaban, ramipril, amlodipine, and atorvastatin. A subsequent renal biopsy showed features consistent with minimal change disease, which resolved spontaneously without the need for steroid treatment. This case highlights the potentially life-threatening presentation of multiple venous thromboses as an initial manifestation of NS.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568647 | PMC |
| http://dx.doi.org/10.7759/cureus.71698 | DOI Listing |
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