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Abstracts |

Renal Vein Thrombosis and the Nephrotic Syndrome.

Victor E. Pollak, M.B.; and Conrad L. Pirani, M.D.
Ann Intern Med. 1966;64(5):1183. doi:10.7326/0003-4819-64-5-1183_2
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Unilateral or bilateral renal vein thrombosis occurs in about 5% of adults with nephrotic syndrome. We have studied ten such patients in whom the diagnosis was made during life. It occurred with or without widespread thromboembolism. Some patients, presumably with gradual or incomplete venous occlusion, presented only with nephrotic syndrome; others, presumably with sudden complete venous occlusion, presented alsc with severe flank pain, presumably due to congestion of the kidney and capsular distention.

When the diagnosis was suspected clinically, it was made by a combination of radiologic and renal biopsy findings. The radiologic signs included evidence of rapid renal enlargement,


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