Warfarin Related Kidney Damage: A Confusing Case of Thrombophlebitis Masquerading as Infection

Anticoagulant-related nephropathy (ARN) is a rare, newly recognized cause of acute kidney injury and significant but underdiagnosed complication of anticoagulation therapy.ARN occurs in patients taking oral anticoagulant therapy most often warfarin or a novel oral anticoagulant (NOAC).It is a potentially devastating disorder with serious renal consequences and milwaukee 2981-20 increased all-cause mortality.Anticoagulant-related nephropathy presents as an acute kidney injury (AKI) in the setting of a supratherapeutic INR with profuse glomerular hemorrhage seen as renal tubules filled with red cells and red cell casts on renal biopsy.

Being that millions of Americans are on warfarin, a thorough understanding and awareness of the clinical presentation, diagnosis, and therapeutic interventions are crucial to protecting the renal function, lowering all-cause mortality and optimizing treatment.Our goal is to provide afck benchmade education on a newly recognized form of AKI and significant but underdiagnosed complication of anticoagulation therapy.

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