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. 2024 Jun 29;5(7):e614. doi: 10.1002/mco2.614

TABLE 1.

Complications associated with membranous nephropathy.

Complication Clinical presentation/classification Treatment Precaution References
Infection (most common) Common sites of infection: respiratory tract, urinary tract, digestive tract and skin Anti‐infective drug without renal toxicity Strengthen daily protection, improve immunity 1
Thrombosis and embolism Deep vein thrombosis, lower limb vein thrombosis and pulmonary embolism were the most common

1. Anticoagulation (low‐molecular‐weight heparin, warfarin)

2. Antiplatelet (aspirin, clopidogrel)

3. Thrombolytic (urokinase, streptokinase)

Early preventive anticoagulation 151
Hypertension Systolic blood pressure ≥130 mmHg, diastolic blood pressure ≥80 mmHg Angiotensin converting enzyme inhibitors/angiotensin receptor blockers Prevention of hyponatremia, daily monitoring of blood pressure 151
Lipid metabolism disorder Total cholesterol and LDL cholesterol increased, and HDL cholesterol decreased Cholesterol‐lowering, triglyceride lowering: Statins (Lovastatin) Patients with persistent proteinuria and hypercholesterolemia, especially those >50 years of age, are treated with statins. 151
Acute kidney injury Sudden decrease in glomerular filtration rate or new hematuria

1. Control blood sugar <10 mmol/L

2. The controlled protein intake for AKI patients who do not require dialysis is 0.8–1.0 g/kg d

3. Avoid nephrotoxic drugs

Renal function indicators (serum creatinine and urine volume) were continuously monitored and novel AKI markers, such as NGAL, were selected for auxiliary monitoring 151