Masoodi Ibrahim, Wani Imtiyaz Ahmad, Hussain Shabnum, Najar M S, Reshi A R, Qurashi Farroq A, Khan Shaima
Department of Gastroenterology, King Fahad Medical City, Riyadh, Saudi Arabia.
BMJ Case Rep. 2011 Mar 10;2011:bcr1220103585. doi: 10.1136/bcr.12.2010.3585.
The authors report a sudden painless blindness in a 42-year-old male with membranous nephropathy of idiopathic origin. He was admitted with a history of decreased urine output and painful abdomen of a 3-day duration in the Department of Nephrology, Sheri Kashmir Institute of Medical Sciences, Srinagar, Kashmir - a tertiary care centre in the state of Jammu and Kashmir, India. On evaluation, he was found to have renal vein thrombosis. On day 3 of admission, he suddenly developed progressive painless blindness. Indirect ophthalmoscopic examination showed retinal vein thrombosis. Patient's clinical condition deteriorated due to his underlying condition and he succumbed to his illness. Renal vein thrombosis as a complication of nephrotic syndrome is well known. To the best of our knowledge, this is the first case of retinal vein thrombosis in the course of nephrotic syndrome.
作者报告了一名42岁特发性膜性肾病男性患者突然出现无痛性失明。他因尿量减少和持续3天的腹痛病史入住印度查谟和克什米尔邦三级医疗中心——斯利那加谢里·克什米尔医学科学研究所肾病科。经评估，发现他患有肾静脉血栓形成。入院第3天，他突然出现进行性无痛性失明。间接检眼镜检查显示视网膜静脉血栓形成。患者因基础疾病导致临床状况恶化，最终病逝。肾静脉血栓形成作为肾病综合征的并发症是众所周知的。据我们所知，这是肾病综合征病程中首例视网膜静脉血栓形成的病例。
