Skip Navigation


NDT Advance Access originally published online on June 16, 2009
Nephrology Dialysis Transplantation 2009 24(10):3240-3243; doi:10.1093/ndt/gfp283
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
24/10/3240    most recent
gfp283v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Golestaneh, L.
Right arrow Articles by Greenberg, M.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Golestaneh, L.
Right arrow Articles by Greenberg, M.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author [2009]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org


Hypercoagulability in a patient with chronic chyluria, proteinuria and hypoalbuminaemia

Ladan Golestaneh1, Sabine Karam1, Janis Lawrence2, Sara Yang1 and Mark Greenberg1

1 Department of Medicine, Montefiore Medical Center 2 Department of Medicine, Jacobi Medical Center, Bronx, NY, USA

Correspondence and offprint requests to: Ladan Golestaneh; E-mail: lgolesta{at}montefiore.org



  Abstract

We describe the case of a young man with prolonged and severe chyluria from a previous parasitic infection. He presented with an acute myocardial infarction most likely secondary to increased clotting tendency. He had a spontaneously formed blood clot in his left anterior descending coronary artery. In the setting of hypo-albuminemia (which has occurred because of obligate losses of protein from lymphuria), he has increased production of factor VIII levels and increased clotting tendency. In addition, because of obligate and unregulated fluid losses he has chronic dehydration, miscrovascular ischemia and secondary polycythemia. This polycythemia further increases his risk of hypercoagulability.

Keywords: chyluria; hypercoagulable; hypoalbuminaemia; polycythaemia

Received for publication: 28. 4.09
Accepted in revised form: 20. 5.09


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.