Right ventricular thrombus in Wegner's granulomatosis

Wesley Nathan Hayes; Pradip Thakker; Martin Christian; Daniel Hawley; Meeta Mallik

doi:10.4081/rr.2011.e9

Case Reports & Letters

5 December 2011

Vol. 3 No. 1 (2011)

https://doi.org/10.4081/rr.2011.e9

Right ventricular thrombus in Wegner's granulomatosis

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Systemic Vasculitis, Nephritis, Thrombosis, Thrombolytic Therapy

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Authors

Wesley Nathan Hayes

weshayes@doctors.org.uk

Nottingham Childrens' Hospital, United Kingdom.

Pradip Thakker

Nottingham Childrens Hospital, Nottingham University Hospital NHS Trust, Queens Medical Centre Campus, Nottingham, United Kingdom.

Martin Christian

Nottingham Childrens Hospital, Nottingham University Hospital NHS Trust, Queens Medical Centre Campus, Nottingham, United Kingdom.

Daniel Hawley

Nottingham Childrens Hospital, Nottingham University Hospital NHS Trust, Queens Medical Centre Campus, Nottingham, United Kingdom.

Meeta Mallik

Nottingham Childrens Hospital, Nottingham University Hospital NHS Trust, Queens Medical Centre Campus, Nottingham, United Kingdom.

A 14 year-old boy presented with frank haematuria following two weeks of fever, coryzal symptoms and epistaxis. Renal biopsy and serology confirmed Wegner’s granulomatosis. This case illustrates the need for vigilance for signs of thrombosis in children with Wegner’s granulomatosis, particularly in those with additional risk factors such as heavy proteinuria, reduced mobility and an indwelling central venous catheter.