Szymanik-Grzelak Hanna, Roszkowska-Blaim Maria, Sekowska Renata, Kamińska Anna, Weglarska Jolanta
Z Katedry i Kliniki Pediatrii i Nefrologii Akademii Medycznej w Warszawie.
Wiad Lek. 2005;58 Suppl 1:98-101.
Authors present an 11-year old girl with non-specific clinical symptoms with increase of inflammatory indices and acute non-oliguric renal failure: creatinine clearance - 55 ml/min/1.73 m2. An anterior uveitis was observed after 7 weeks of illness. Diagnosis of tubulointerstitial nephritis with uveitis (TINU) was confirmed by interstitial infiltrate (lymphocytes, neutrophils, eosinophils) and interstitial fibrosis in renal biopsy. Steroid therapy was given for 7 months. Uveitis without kidney involvement relapsed 1 month after discontinuation of steroid therapy. The full recovery of uveitis was achieved after the treatment with topical steroids. After 3 years, the illness remains still in remission.
作者报告了一名11岁女孩,有非特异性临床症状,炎症指标升高,伴有急性非少尿性肾衰竭:肌酐清除率为55 ml/min/1.73 m²。患病7周后观察到前葡萄膜炎。肾活检显示间质浸润(淋巴细胞、中性粒细胞、嗜酸性粒细胞)和间质纤维化,确诊为肾小管间质性肾炎伴葡萄膜炎(TINU)。给予类固醇治疗7个月。停用类固醇治疗1个月后,无肾脏受累的葡萄膜炎复发。局部使用类固醇治疗后葡萄膜炎完全恢复。3年后,病情仍处于缓解期。