Acute Tubulointerstitial Nephritis with Antineutrophil Cytoplasmic Antibody
Article Outline
We present a case of acute tubulointerstitial nephritis that developed in a 77-year-old woman who had a high titer of myeloperoxidase (MPO)-antineutrophil cytoplasmic antibody (ANCA). The constellation of clinical, laboratory and histopathologic findings suggested idiopathic acute tubulointerstitial nephritis. Of interest, no drugs were found to be responsible. Therefore, MPO-ANCA itself might play a causative role in the development of acute tubulointerstitial nephritis.
Key words: ANCA , antineutrophil cytoplasmic antibody , tubulointerstitial nephritis
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References
- . Acute interstitial nephritis: correlations between clinical and morphological findings . Clin Nephrol . 1980;14:263–273
- . Pathogenesis and therapy of interstitial nephritis . Kidney Int . 1989;35:1257–1270
- . New horizons in renal vasculitis . Klin Wochenschr . 1991;69:536–551
- Association of autoantibodies to myeloperoxidase with different forms of vasculitis . Arthritis Rheum . 1990;33:1264–1272
- . Clinical course of anti-neutrophil cytoplasmic autoantibody-associated glomerulonephritis and systemic vasculitis. The Glomerular Disease Collaborative Network . Ann Intern Med . 1990;113:656–663
- . Clinical spectrum associated with ANCA of defined antigen specificities in 98 selected patients . Clin Nephrol . 1993;39:125–136
- A case of cimetidine-induced acute tubulointerstitial nephritis associated with antineutrophil cytoplasmic antibody . Am J Kidney Dis . 1999;33:1–4
- . Cephotaxime-associated allergic interstitial nephritis and MPO-ANCA positive vasculitis . Ren Fail . 2000;22:245–251
- . Acute interstitial nephritis, omeprazole and antineutrophil cytoplasmic antibodies . Clin Nephrol . 1994;42:280
- Tubulointerstitial nephritis with anti-neutrophil cytoplasmic antibody following indomethacin treatment . Nephrol Dial Transplant . 1999;14:2774
- . Acute tubulointerstitial nephritis associated with the selective COX-2 enzyme inhibitor, rofecoxib . Lancet . 2001;357:1946–1947
- . Anti-neutrophil cytoplasmic autoantibodies induce neutrophils to degranulate and produce oxygen radicals in vitro . Proc Natl Acad Sci USA . 1990;87:4115–4119
PII: S1561-5413(09)60227-1
doi:10.1016/S1561-5413(09)60227-1
© 2006 The Hong Kong Society of Nephrology. Published by Elsevier Inc. All rights reserved.
