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김현정 ( Hyun Jung Kim ),차정민 ( Jeong Min Cha ),정덕은 ( Duk Eun Jung ),이지은 ( Ji Eun Lee ),이유민 ( Yu Min Lee ),변승재 ( Seung Jae Byun ),송주흥 ( Ju Hung Song ),안선호 ( Seon Ho Ahn ),( Jin Ho Shin ) 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.6
Acute renal failure caused by rifampin typically occurs on intermittent administration or reintroduction of the drug. However, acute kidney injury (AKI) due to rifampin has been rarely reported to occur in patients receiving a continuous rifampin therapy. We have experienced a case of acute interstitial nephritis during the first course of standard anti-tuberculous therapy, including continuous rifampin therapy in daily dose. Forty-five-year-old male, who had been being treated with anti-tuberculous medication including rifampin (600 mg/day), was admitted to our hospital because of generalized edema and dyspnea by acute renal failure. His past medical history was unremarkable. Since the creatinine level was still elevated in 10 days after cessation of rifampin, we performed renal biopsy. The renal pathologic findings revealed acute interstitial nephritis. After that, the patient symptom was relieved and serum creatinine level was decreased without specific therapy. The renal function was recovered at 1 month after withdrawal of rifampin. We report a case of acute interstitial nephritis complicated with the first daily rifampin therapy, along with the review of literature.
김현철,권진경,이태희,주일,박성배 啓明大學校 醫科大學 1995 계명의대학술지 Vol.14 No.3
Acute interstitial nephritis caused by drugs is an increasingly recognized form of acute renal failure. Early recognition of the etiologic drug is important, since the renal failure is reversible after discontinuation of the drug and rarely may be irreversible if the drug is not stopped. Various NSAIDs may be cause a deterioration of renal function with broad clinical spectrums such as nephrotic syndrome, acute interstitial nephritis, acute renal failure, acute tubular necrosis, papillary necrosis, acute glomerulitis and vasculitis. Fenoprofen appeared to be more nephrotoxic than other NSAIDs and resulted in multiple renal lesions in the same patient. We experienced a case of fenoprofen-induced acute interstitial nephritis. This patient is a 53 years old female who developed a generalized edema, heavy proteinuria and renal insufficiency after taking fenoprofen for eight months. Renal biopsy revealed 1ymphocyte and plasma cell infiltration with focal fibrosis in the interstitium. We noted rapid recovery of renal function by hemodialysis and drub withdrawl. So we report a case of acute interstitial nephritis caused by fenoprofen with a review of the literature.
이준호(Jun Ho Lee),황재석(Jae Suk Hwang),한승범(Seung Beom Han),박성배(Sung Bae Park),전영준(Young June Jeon),박관규(Kwan Kyu Park),김현철(Hyun Chul Kim) 대한내과학회 1995 대한내과학회지 Vol.48 No.4
It has been well defined that acute renal failure due to rifampin is more common when drug is given intermittently and resumed later. However acute renal failure due to rifampin has been rarely reported to occur in patients receiving a first course of continuous rifampin therapy in daily dose. Recently the authors experienced a case of interstitial nephritis during the first course of continuous rifampin therapy in a 52-year-old male patient. Fever, elevated BUN and creatinine were identified 10 days after administration of rifampin, 600mg daily with other antituberculosis drugs. Renal biopsy revealed interstitial nephritis. The renal function was normalized in 44 days after cessation of rifampin. The authors report a case of acute interstitia1 nephritis during the first course of rifampin therapy, with review of literatures.
IgA 신증에서 병발된 급성 간질성 신염에 의한 급성 신부전을 혈액투석과 스테로이드 충격 요법으로 치료한 1예
이주현 ( Ju Hyun Lee ),류지원 ( Ji Won Ryu ),홍현석 ( Hyun Seok Hong ),이주학 ( Joo Hark Yi ),한상웅 ( Sang Woong Han ),박문향 ( Moon Hyang Park ),김호중 ( Ho Jung Kim ) 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.6
Acute renal failure in Immunoglobulin A nephropathy (IgAN), a rare event, is associated with acute tubular necrosis mainly induced by intratubular erythrocytic cast and crescentic glomerulonephropathy (rapidly progressive glomerulonephritis) and the severity paralleled to the degree of glomerular damage. The changes are regarded as those of secondary atrophic response to the glomerular lesions. In that case, renal progression correlates more closely with the severity of tubulointerstitial lesions than with the degree of glomerular lesions in IgAN. Rarely, acute tubulointerstitial nephritis (TIN) could develop independently in primary glomerulonephritis. In this case, the severity of tubulointerstitial lesion was out of proportion with damage of glomerular lesion. To the best of our knowledge, we report the first case of a patient with independently developed severe acute TIN complicating IgAN in Korea. A 38-year-old man was admitted with recurrent hematuria. Proteinuria (<1 g) and severe renal failure were noted and hemodialysis was started. In renal biopsy, IgAN associated with acute TIN was diagnosed. He showed good response to steroid therapy and maintained normal renal function after discontinuation of medication.
김재규(Jae Gyu Kim),고경수(Jin Suk Han),한진석(Jin Suk Han),김성권(Suhng Gwon Kim),조보연(Bo Youn Cho),이정상(Jung Sang Lee) 대한내과학회 1995 대한내과학회지 Vol.49 No.4
Propylthiouracil and methimazol are frequently used in the management. of hyperthyroidism. Adverse reactions of antithyroid drug occur in 1-5% of patients. The major side effects, namely agranulocytosis, hepatitis, hypersensitivity vasculitis and lupus-like syndrome, have been described though these syndromes are not distinct entities and there can be overlaps in the clinical manifestation. The drug-induced hypersensitivity may be immune-mediated reaction with multiorgan involvement,. Renal impairment caused by antithyroid drugs is extremely rare. Only the case of focal glomerular mesangial and membraneous thickening due to propylthiouracil and that of nephrotic syndrom due to methimazol have been described. There have been no case of acute interstitial nephritis due to antithyroid drugs in review of literature. We report a patient with unusual combination of fever, purpuric skin rash, protemuria, eosinophilia, thrombocytopenia, hepatitis and acute interstital nephritis. The patient recovered promptly after withdrawal of antithyroid drugs and the response of steroid treatment was good. The clinical manifestations of renal impairment were similar to acute interstitial nephritis due to durgs such as methicillin. We propose that renal impairment of this case is an aeute interstitial nephritis due to hypersensitivity of antithyroid drugs.
홍창우 ( Chang Woo Hong ),노신영 ( Sin Young Nho ),이인희 ( In Hee Lee ),안기성 ( Ki Sung Ahn ),박관규 ( Kwan Kyu Park ),강건우 ( Gun Woo Kang ) 대한내과학회 2014 대한내과학회지 Vol.87 No.3
Ethambutol is commonly used as a first-line drug for the treatment of tuberculosis. The most serious adverse effect of ethambutol therapy is optic neuropathy. However, ethambutol-induced acute kidney injury is extremely rare. We report herein a case of acute kidney injury secondary to ethambutol-associated acute interstitial nephritis. A 65-year-old man with pulmonary tuberculosis presented with a > 7-day history of nausea and vomiting. He had begun antituberculosis medications including ethambutol 3 weeks previously. His laboratory findings showed elevated blood urea nitrogen and serum creatinine levels (32.6 and 3.6 mg/dL, respectively). Examination of percutaneous renal biopsy specimens showed diffuse interstitial mononuclear cell infiltration with mild interstitial edema. The patient was treated by cessation of ethambutol and supportive care. His renal function completely recovered (creatinine, 1.1 mg/dL) and his clinical symptoms improved. (Korean J Med 2014;87:352-356)
류형규,박진웅,현선아,임현이,신규태,김흥수,박인휘 중앙대학교 의과대학 의과학연구소 2014 中央醫大誌 Vol.39 No.4
Tubulointerstitial nephritis and uveitis (TINU) syndrome is a rare disease usually occurring in adolescent. In the present study a case of TINU syndrome in an elderly patient is described. A 69-year-old man was presented with fever, general weakness and renal insufficiency. Two weeks later the patient complained of Rt. eye pain and decreased visual acuity. An ophthalmologic examination revealed Rt. panuveitis and renal biopsy showed acute interstitial nephritis. The patient was treated with systemic corticosteroid and topical ophthalmic steroid drops. Interstitial nephritis responded to treatment but uveitis wasn't improved. So we need focal steroid injection on Rt. eye. TINU syndrome can occur in the elderly and should be considered in the differential diagnosis of uncertain tubulointerstitial nephritis.
박승교 ( Seung Kyo Park ),임범진 ( Beom Jin Lim ),이철호 ( Cheol Ho Lee ),나현진 ( Hyun Jin Na ),윤수영 ( Soo Young Yoon ),문성진 ( Sung Jin Moon ) 대한내과학회 2013 대한내과학회지 Vol.85 No.4
Cisplatin is commonly used as chemotherapy for solid tumors. Its most important side effect is nephrotoxicity, which typically produces a gradual decline in renal function. Acute tubular necrosis is the usual pathological finding, while other findings are rare. A 75-year-old man presented to the emergency department (ED) with diarrhea and hypoglycemia. He was on 5-fluorouracil (5-FU)/cisplatin chemotherapy after a radical total gastrectomy for gastric cancer. Ten days earlier, he had been discharged after the third cycle of chemotherapy with normal renal function. When he arrived in the ED, he had azotemia (creatinine = 9.2 mg/dL) necessitating emergency hemodialysis. His renal function did not recover despite hydration and conservative treatment. Since he could not receive further chemotherapy due to the renal failure, he died 4 months later due to cancer progression. A renal biopsy performed 3 months after the renal failure showed acute tubular necrosis and severe interstitial fibrosis with normal glomeruli suggesting tubulointerstitial nephritis. (Korean J Med 2013;85:425-429)