Renal vein thrombosis. Patients with the nephrotic syndrome are at increased risk of developing venous and arterial thromboembolism, particularly RVT The mechanism of thromboembolism in nephrotic syndrome and optimal diagnostic and anticoagulant management strategies remain controversial.
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Singhal et al, Thrombosis Research (2006) 118, 397—407
Mahmoodi et. Al Circulation. 2008 Jan 15;117(2):224-30
Pathogenesis generalized hypercoagulable state
Routine screening for RVT is not recommended in patients with nephrotic syndrome
It is also not useful to evaluate for RVT in a patient who experiences an overt embolic event such as PE
Treatment experiences an overt embolic event such as PE
Can renal vein thrombosis cause the nephrotic syndrome? the absence of RVT are treated with low molecular weight heparin and then warfarin