Anticoagulation approaches for arterial and venous thrombotic occurrences in membranous nephropathy: report of a patient with postponed diagnosis.

Vascular thrombosis and hypercoagulability are frequently observed in individuals with nephrotic syndrome (NS), particularly those diagnosed with membranous nephropathy (MN). It is extensively recognized that venous thrombosis occurs far more frequently than arterial thrombosis. However, we report a patient who experienced two significant arterial and venous thrombotic events within the past two years, and he was a 35-year-old man with nephrotic syndrome secondary to membranous nephropathy. In contrast to most previous similar studies that had shown only a single demonstration of venous embolism or arterial embolism, this case highlighted the occurrence of both venous and arterial embolic events. This suggests and prompts considerations for future research avenues and anticoagulant treatment strategies.