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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2020  |  Volume : 31  |  Issue : 2  |  Page : 545-548
Coagulopathy in the nephrotic syndrome

Department of Nephrology, Rajagiri Hospital, Aluva, Cochin, Kerala, India

Correspondence Address:
Sneha P Simon
Department of Nephrology, Rajagiri Hospital, Aluva, Cochin, Kerala
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DOI: 10.4103/1319-2442.284035

PMID: 32394933

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Coagulopathy in the nephrotic syndrome (NS) is very rare. Simultaneous prolongation of both prothrombin time and activated partial thromboplastin time suggests common coagulation pathway abnormality such as liver dysfunction, Vitamin K deficiency, disseminated intravascular coagulation, or primary fibrinolysis. This results in difficulty in proceeding with renal biopsy and tissue diagnosis. We report one such case of NS with coagulopathy and refractoriness to correction with blood products, which led us to make a diagnosis of AL amyloidosis, which was confirmed with abdominal fat pad biopsy and other work-up.

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