A Case of Tubulointerstitial Nephritis and Uveitis Syndrome in an Elderly Patient.
10.3341/kjo.2012.26.5.398
- Author:
Jeong Mo HAN
1
;
Yun Jong LEE
;
Se Joon WOO
Author Information
1. Department of Ophthalmology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. sejoon1@snu.ac.kr
- Publication Type:Case Reports
- Keywords:
Interstitial nephritis;
Nephritis;
Renal diseases;
Tubulointerstitial nephritis and uveitis;
Uveitis
- MeSH:
Biopsy;
Diagnosis, Differential;
Glucocorticoids/therapeutic use;
Humans;
Male;
Middle Aged;
Nephritis, Interstitial/*diagnosis/drug therapy;
Uveitis/*diagnosis/drug therapy
- From:Korean Journal of Ophthalmology
2012;26(5):398-401
- CountryRepublic of Korea
- Language:English
-
Abstract:
Tubulointerstitial nephritis and uveitis (TINU) syndrome is a rare disease entity usually occurring in children. In the present study a case of TINU syndrome in an elderly patient is described and relevant literature is reviewed. A 61-year-old man presented with bilateral flank pain, urinary frequency, and foamy urine. A kidney ultrasonography revealed an increase in kidney parenchyma echogenicity. Following a kidney biopsy, the patient was diagnosed with acute tubulointerstitial nephritis. An ophthalmology examination initially performed for floater symptoms, revealed anterior uveitis in both eyes. Acute tubulointerstitial nephritis and anterior uveitis in both eyes responded to treatment with oral prednisolone, furosemide, carvedilol, and a topical steroid. TINU syndrome can occur in the elderly and should be part of the differential diagnosis when seeing a patient who has uveitis in association with renal disease; any therapy should be managed by both an internist and an ophthalmologist.
