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Volume 358:2744-2746 June 19, 2008 Number 25
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Acute Pulmonary Embolism

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 by Tapson, V. F.
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To the Editor: We were surprised that the nephrotic syndrome was omitted from the list of underlying prothrombotic conditions in the review of acute pulmonary embolism by Tapson (March 6 issue).1 The nephrotic syndrome is relatively common in comparison with some of the prothrombotic conditions listed by the author.2 Thrombotic events, including pulmonary embolism, may be the first presentation of the nephrotic syndrome. In our experience, diagnosis of the nephrotic syndrome is often delayed despite the presence of peripheral edema and abundant proteinuria and hypoalbuminemia at the time of hospital admission. This delay may result in further thrombotic events or . . . [Full Text of this Article]




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