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.

Details

Title
The forgotten urinalysis: an integral part of unmasking thrombophilia
Author
Qureshi, Marvi 1 ; Fortune Alabi 2 ; Francis, Christian 3 ; Romero, Claudia 2 

 College of Medicine, University of Central Florida, Orlando, FL, USA 
 Florida Lung Asthma and Sleep Specialists, Florida Hospital, FL, USA 
 Department of Pulmonary and Critical Medicine, University of Oklahoma, Oklahoma, FL, USA 
End page
44
Publication year
2019
Publication date
Jan 2019
Publisher
Greater Baltimore Medical Center
e-ISSN
20009666
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2332222899
Copyright
© 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center. This work is licensed under the Creative Commons  Attribution – Non-Commercial License http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.