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interstitial nephritis |
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nephritis /ne·phri·tis/ (nĕ-fri´tis) pl. nephri´tides [Gr.] inflammation of the kidney; a focal or diffuse proliferative or destructive disease that may involve the glomerulus, tubule, or interstitial renal tissue. glomerular nephritis glomerulonephritis. interstitial nephritis primary or secondary disease of the renal interstitial tissue. lupus nephritis glomerulonephritis associated with systemic lupus erythematosus. potassium-losing nephritis see under uropathy. radiation nephritis kidney damage caused by ionizing radiation; symptoms include glomerular and tubular damage, hypertension, and proteinuria, sometimes leading to renal failure. It may be acute or chronic, and some varieties do not manifest until years after the radiation exposure. salt-losing nephritis see under nephropathy. transfusion nephritis nephropathy following transfusion from an incompatible donor. tubulointerstitial nephritis nephritis of the renal tubules and interstitial tissues, usually secondary to drug sensitization, systemic infection, graft rejection, or autoimmune disease. An acute type and a chronic type have been distinguished.
interstitial nephritis, inflammation of the interstitial tissue of the kidney, including the tubules. The condition may be acute or chronic. Acute interstitial nephritis is an immunologic adverse reaction to certain drugs, often sulfonamide or methicillin (allergic interstitial nephritis). Acute renal failure, fever, rash, and proteinuria are characteristic of this condition. Most people regain normal kidney function when the offending drug is discontinued. Chronic interstitial nephritis is a syndrome of interstitial inflammation and structural changes, sometimes associated with such conditions as ureteral obstruction, pyelonephritis, exposure of the kidney to a toxin, rejection of a transplant, and certain systemic diseases. Gradually renal failure, nausea, vomiting, weight loss, fatigue, and anemia develop. Acidosis and hyperkalemia may follow. The nurse watches carefully for signs of electrolyte imbalance, dehydration, and hypovolemia, especially if there is frequent vomiting. Fluids and electrolytes may be replaced intravenously. Treatment includes correction of the underlying cause. If the cause is an obstruction of the urinary tract, rapid recovery may follow removal of the obstruction. In other cases, hemodialysis and kidney transplantation may be necessary. interstitial pertaining to or situated between parts or in the interspaces of a tissue. atypical interstitial pneumonia interstitial cell adenoma see interstitial cell tumor (below). interstitial cell-stimulating hormone luteinizing hormone. interstitial cell the cells of the connective tissue of the ovary or the testis (Leydig's cells), which furnish the internal secretion of those structures. interstitial cell tumor a common testicular tumor in old dogs. Most are benign and not associated with any major clinical disturbances but there may be concurrent perianal gland neoplasms, infertility and rarely feminization or viciousness. Called also Leydig cell tumor or interstitial cell adenoma. interstitial edema edema of the interstitial interlobular tissue in the lung. interstitial emphysema pulmonary emphysema with air accumulated in the interlobular connective tissue; characteristic of emphysema in cattle. interstitial fluid the extracellular fluid bathing cells in most tissues, excluding the fluid within the lymph and blood vessels. interstitial gland of the ovary, consisting of polyhedral epithelioid cells in the stroma of the ovary and have characteristics of cells which produce steroids. interstitial nephritis see nephritis. interstitial fluid pressure pressure exerted by the free interstitial fluid; if the pressure is negative this tends to suck fluid out of the vascular system and into the tissue space; if the pressure is greater than the intravascular pressure fluid tends to move out of the tissue space. interstitial pneumonia see pneumonia. interstitial space tissue space. interstitial tissue connective tissue between the cellular elements of a structure. nephritis inflammation of the kidney; a focal or diffuse proliferative or destructive disease that may involve the glomerulus, tubule or interstitial renal tissue. See also glomerulonephritis, interstitial nephritis (below), nephrosis, pyelonephritis. autoimmune nephritis see glomerulonephritis. embolic nephritis caused by infected emboli lodging in renal vessels. One or more abscesses may develop, causing signs referable to toxemia. There may be intermittent pyuria. Renal dysfunction is likely only if most of the renal mass is destroyed. glomerular nephritis see glomerulonephritis. interstitial nephritis a diffuse lesion characterized by interstitial inflammation and fibrosis, sometimes attributed to hematogenous infection with Leptospira spp. There is a secondary glomerular and vascular injury. It is manifested by polyuria, urine of low specific gravity, and terminal uremia. lupus nephritis glomerulonephritis associated with systemic lupus erythematosus. parenchymatous nephritis nephritis affecting the parenchyma of the kidney. suppurative nephritis a form accompanied by suppuration and abscessation of the kidney. transfusion nephritis nephropathy following transfusion from an incompatible donor. Interstitial nephritis Tubulointerstitial nephritis Nephrology Inflammation of the space in and around the renal tubules; IN may be a transient drug response or chronic and progressive; it may accompany analgesic nephropathy and acute
interstitial allergic nephritis Drugs linked to IN Antibiotics–penicillin, ampicillin, methicillin, sulfonamides, etc; NSAIDs, furosemide, thiazide diuretics Clinical IN ↓ renal function–from mild dysfunction to acute renal
failure–ARF; ±1⁄2 of cases exhibit ↓ urine output and other signs of ARF–eg, failure to concentrate urine or regulate acid/base levels–resulting in metabolic acidosis, progression to ESRD. See Renal failure. How to thank TFD for its existence? Tell a friend about us, add a link to this page, add the site to iGoogle, or visit webmaster's page for free fun content. |
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Of the 44 patients who enrolled in this study, 32 completed the 48-week treatment period, with only two patients discontinuing participation in the study as a result of adverse events that were considered possibly or probably related to study medication, one following a reversible increase in the level of gamma glutamyl transferase (GGT), an enzyme associated with the liver and biliary tract, and another following a diagnosis of interstitial nephritis. The problem of nephropathia epidemica Myhrman-Zetterholm in relation to acute interstitial nephritis. Nephropathia epidemica is characterized by acute fever, headache, nausea, vomiting, myalgia, abdominal and loin pain, mild hepatitis and pancreatitis, and interstitial nephritis with acute renal failure. |
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