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10 Cards in this Set

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Define the tubulointerstitial nephritis group diseases

This group of renal diseases involves inflammatory injuries of the tubules and interstitium that are often insidious in onset and are principally manifest by azotemia.

What are the main causes of tubulointerstitial nephritis?

1. Infections


2. Toxins


3. Metabolic diseases


4. Physical factors


5. Neoplasms


6. Immunologic factors


7. Vascular diseases


8. Miscellanoeous

8. Table 20-8. Rob 9. P. 929.

What are the the main immunological reactions that cause tubulointerstitial nephritis?

Transplant rejection


Sjorgen syndrome


Sarcoidosis

3

What are the main causes for infections that cause tubulointerstitial nephritis?

Acute bacterial pyelonephritis


Chronic pyelonephritis , including reflux nephropathy


Other infections , viruses, parasites.




3

What are the 2 types of tubulointerstitial nephritis?

Acute


Chronic

What is a characteristic histological picture of acute tubulointerstitial nephritis?

Interstitial edema,


Often accompanied by leukocytic infiltration of the interstitium and tubules


Tubular injury

What is the characteristic histological picture of chronic interstitial nephritis?

Infiltration with mononuclear leukocytes


Prominent interstitial fibrosis


Wide spread tubular atrophy.

What morphologic features suggest acute tubulointerstitial nephritis?


edemaEosinophils


Neutrophils.

What morphologic features are characteristic for chronic tubulointerstitial nephritis?

Fibrosis


Tubular atrophy

What clinical hallmarks distinguish tubulointerstitial nephritis from the glomerular diseases?

Absence of nephritic or nephrotic syndromes


Presence of defects in tubular functions: polyuria or nocturia