Acute Interstitial Nephritis

Question 1

What is this a presentation of?

Fever, rash, arthralgia, eosinophilia, mild renal impairment, hypertension, white cell casts in urine.

Answer 1

Acute interstitial nephritis

Question 2

What are the causes of acute interstitial nephritis?

Answer 2

1. Idiopathic
2. Drugs - penicillin, rifampicin, NSAIDs, allopurinol, furosemide.
3. Infection
4. SLE, sarcoidosis, Sjogren’s, ANCA

Question 3

What is the management for acute interstitial nephritis?

Answer 3

1. Stop causative agent

2. Steroids