The forgotten urinalysis: an integral part of unmasking thrombophilia. Issue 1 (2nd January 2019)

• Record Type: Journal Article
• Authors: Qureshi, Marvi; Alabi, Fortune; Christian, Francis; Romero, Claudia
• Is Part Of: Journal of community hospital internal medicine perspectives. Volume 9:Issue 1(2019)
• Page Start: 40
• Page End: 44
• Publication Date: 2019-01-02
• Subjects: Nephrotic syndrome -- urinalysis -- albuminuria -- ovarian vein thrombosis -- renal vein thrombosis -- pulmonary embolism -- membranous nephropathy -- thrombophilia -- anticoagulation; Internal medicine -- Periodicals; Hospitals -- Periodicals; Hospitals, Community; Internal Medicine; Hospitals; Internal medicine; Periodicals; Periodicals; 610
• DOI: 10.1080/20009666.2018.1562854
• Languages: English
• ISSNs: 2000-9666

Abstract

ABSTRACT: A 43-year-old female presented with flank pain of two days duration. She had been admitted previously for bilateral lower extremity edema which had not improved with diuresis. Abdominal Imaging showed left ovarian vein thrombosis and left renal vein thrombosis extending into the IVC. Chest imaging revealed right lower lobe segmental pulmonary emboli. Careful review of serial urinalysis during previous admissions revealed significant proteinuria. Confirmatory urine tests followed by a renal biopsy led to a diagnosis of membranous nephropathy. We report a case of acute diffuse thromboembolism due to membranous nephropathy, unmasked by serial abnormal urinalysis.