Gamze KIRKIL, Tuncer TUĞ, M. Hamdi MUZ, Figen DEVECİ, Burcak COŞKUN, Teyfik TURGUT

Daha Önce Tanı Konulmamış Nefrotik Sendrom Zemininde Gelişen Pulmoner Tromboemboli Olgusu

Pulmoner tromboemboli (PTE) sık görülen, teşhisinde zorlanılan ve mortalitesi yüksek bir hastalıktır. PTE oluşumunda erken dönemde kolayca gözden kaçabilen birçok sekonder risk faktörü bulunmaktadır. Bu faktörlerden biri de nefrotik sendromdur. Bu yazıda daha önce tanı konulmamış nefrotik sendrom zemininde gelişen pulmoner tromboemboli olgusu sunulmuştur. ©2005, Fırat Üniversitesi, Tıp Fakültesi

Anahtar Kelimeler:

Pulmoner tromboemboli, nefrotik sendrom, tedavi

A Pulmonary Thromboembolism Case Based on Nephrotic Syndrome that is not Previously Diagnosed

Pulmonary thromboembolism (PTE) is a frequent disease with a high mortality and a diffucult diagnosis. There are many secondary risk factors that can be escaped notice during early stage of PTE. One of these factors is nephrotic syndrome. Here a case presenting PTE based on nephrotic syndrome that is not previously diagnosed is presented. ©2005, Fırat Üniversitesi, Tıp Fakültesi

Keywords:

-,

PDF

___

Ercüment E. Akciğer tromboembolisi. In: Özyardımcı N; eds. Nonspesifik akciğer hastalıkları. Cilt II. Bursa: Uludağ, 1999: 1011-1025.
Mandelli V, Schmid C, Zogno C, Morpurgo M. False negatives and false positives in acute pulmonary embolism: A clinicalpostmortem comparison. Cardiologia 1997; 42: 205-210.
Morpurgo M, Schmid C, Mandelli V. Factors influencing the clinical diagnosis of pulmonary embolism: analysis of 229 postmortem cases. Int J Cardiol 1998; 65: 79-82.
Herold CJ, Bankier AA, Burghuber OC, et al. Pulmonary embolism: pulmonary vascular disorders, vasculitides, and hemorrhage. In: Albert RK, Spiro SG, Jett JR, eds. Comprehensive respiratory medicine. Philadelphia: Mosby, 1999: 1-12.
Sagripanti A, Barsotti G. Hypercoagulability, intraglomerular coagulation and thromboembolism in nephrotic syndrome. Nephron 1995; 70: 271-281.
Ikeda S, Takaya Y, Takahashi K, et al. A case of nephrotic syndrome associated with pulmonary infarction and renal vein thrombosis. (Areview of literature) Nippon Jinzo Gakkai Shi 1989; 31: 883-889 (abstract).
Zima T, Chabova V, Tesar V, Gorican K. Thromboembolic complications in nephrotic syndrome. Cas Lek Cesk. 1996; 135: 530-533 (abstract).
Cameron JS. Renal disease. In: Wetherall DJ, Ledingham JGG, Warell DA, eds. Oxford textbook of medicine, 3rd ed. Oxford: Oxford University Pres, 1996: 3142-3160.
Zdrojewski Z, Raszeja-Specht A, Skibowska A. Hypercoagulation in patients with nephrotic syndrome. Pol Merkuriusz Lek 1997; 2: 201-204 (abstract).
Vaziri ND, Gonzales E, Barton CH, et al. Factor XIII and its substrates, fibronectin, fibrinogen, and alpha-2-antiplasmin, in plasma and urine of patients with nephrosis. J Lab Clin Med 1991; 117: 152-156.
Cosio FG, Harker C, Batard MA, et al. Plasma concentrations of natural anticoagulants protein C and protein S in patients with proteinuria. J Lab Clin Med 1985; 106: 218-222.
Machleidt C, Mettang T, Starz E. Multifactorial genesis of enhanced platelet aggregation in patients with nephrotic syndrome. Kidney Int 1989; 36: 1119-1124.
Hartland AJ, Giles PD, Bridger JE, Simmons W. A case of membranous glomerulonephritis presenting as pulmonary embolism and acute hyperlipidemia. J Clin Pathol 2002; 55: 538-540.
Kuhlmann U, Blattler W, Pouliadis G, Siegenthaler W. Complications of nephrotic syndrome with special reference to thromboembolic accidents. Schweiz Med Wochenschr 1979; 109: 200-209 (abstract).
Wang W, Lu W, Xie M. A retrospective study of 3 cases of nephrotic syndrome with pulmonary thromboembolism. Zhonghua Jie He He Hu Xi Za Zhi 1999; 22: 183-185 (abstract).