Kaynar Kubra, Ersoz Safak, Akyol Nurettin, Ersoz Onder, Unlu Ozge, Ozbay Tulin, Ulusoy Sukru
Department of Nephrology, School of Medicine, Karadeniz Technical University, Trabzon, Turkey.
Nephrology (Carlton). 2005 Aug;10(4):418-20. doi: 10.1111/j.1440-1797.2005.00400.x.
A Turkish woman aged 44 years who presented with a 1 month history of abdominal pain, fatigue and weight loss of 10 kg was diagnosed as having acute tubulointerstitial nephritis. Opthalmological evaluation revealed unilateral uveitis and contralateral chorioretinal scarring. X-ray films of the pelvis revealed unilateral sacroileitis. An elevated erythrocyte sedimentation rate, C-reactive protein, tubular proteinuria and renal glucosuria returned to normal 2 weeks after treatment was started. It is important to be aware of tubulointerstitial nephritis and uveitis syndrome in order to achieve a quick diagnosis in patients with renal impairment and tubular dysfunction with minor symptoms so that appropriate management can be started early.
一名44岁的土耳其女性，有1个月的腹痛、疲劳病史，体重减轻10公斤，被诊断为急性肾小管间质性肾炎。眼科评估显示单侧葡萄膜炎和对侧脉络膜视网膜瘢痕形成。骨盆X线片显示单侧骶髂关节炎。开始治疗2周后，升高的红细胞沉降率、C反应蛋白、肾小管性蛋白尿和肾性糖尿恢复正常。认识到肾小管间质性肾炎和葡萄膜炎综合征对于快速诊断有轻度症状的肾功能损害和肾小管功能障碍患者很重要，以便能尽早开始适当的治疗。
