Aetiology, course and treatment of acute tubulointerstitial nephritis in paediatric patients : A cross-sectional web-based survey

Autor: The international TIN study group, Wente-Schulz, Sarah, Aksenova, Marina, Awan, Atif, Jahnukainen, Timo
Přispěvatelé: HUS Children and Adolescents, Children's Hospital, Helsinki University Hospital Area
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Popis: Publisher Copyright: © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. Background Acute tubulointerstitial nephritis (TIN) is a significant cause of acute renal failure in paediatric and adult patients. There are no large paediatric series focusing on the aetiology, treatment and courses of acute TIN. Patients, design and setting We collected retrospective clinical data from paediatric patients with acute biopsy-proven TIN by means of an online survey. Members of four professional societies were invited to participate. Results Thirty-nine physicians from 18 countries responded. 171 patients with acute TIN were included (54% female, median age 12 years). The most frequent causes were tubulointerstitial nephritis and uveitis syndrome in 31% and drug-induced TIN in 30% (the majority of these caused by non-steroidal anti-inflammatory drugs). In 28% of patients, no initiating noxae were identified (idiopathic TIN). Median estimated glomerular filtration rate (eGFR) rose significantly from 31 at time of renal biopsy to 86 mL/ min/1.73 m2 3-6 months later (p
Databáze: OpenAIRE