Acute tubulointerstitial nephritis-uveitis (TINU) syndrome developed secondary to paracetamol and codeine phosphate use: two case reports

Tubulointerstitial nephritis (TIN) refers to a group of heterogeneous diseases affecting the interstitial compartment of the kidney. It might be primary or can develop secondary to many urinary systemic diseases. Primary TIN develops mainly following drug usage, exposure to toxins, and also i...

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Main Authors: Demet Alaygut, Meral Torun Bayram, Mehtat Ünlü, Alper Soylu, Mehmet Türkmen, Salih Kavukçu
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2014-02-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/1322
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author Demet Alaygut
Meral Torun Bayram
Mehtat Ünlü
Alper Soylu
Mehmet Türkmen
Salih Kavukçu
author_facet Demet Alaygut
Meral Torun Bayram
Mehtat Ünlü
Alper Soylu
Mehmet Türkmen
Salih Kavukçu
author_sort Demet Alaygut
collection DOAJ
description Tubulointerstitial nephritis (TIN) refers to a group of heterogeneous diseases affecting the interstitial compartment of the kidney. It might be primary or can develop secondary to many urinary systemic diseases. Primary TIN develops mainly following drug usage, exposure to toxins, and also infections and humoral and cell-mediated immune reactions. In some patients, signs of systemic inflammatory reactions can be the first presenting symptoms. Histopathological evaluation reveals mononuclear cells and lymphocytes in the interstitium and tubuli. Acute and chronic TIN can resolve after elimination of the culprit destructive factors, as drugs, toxins and immune reaction. Combination of tubulointerstitial inflammation and uveitis is termed as tubulointerstitial nephritis-uveitis (TINU) syndrome. Uveitis might occur before, after, and also concomitantly with TIN. Herein, two adolescent cases of TIN and TINU, seemingly developed secondary to paracetamol and codeine phosphate use, are presented.
format Article
id doaj-art-002f647391004e9c9c783fd1aacb7174
institution OA Journals
issn 0041-4301
2791-6421
language English
publishDate 2014-02-01
publisher Hacettepe University Institute of Child Health
record_format Article
series The Turkish Journal of Pediatrics
spelling doaj-art-002f647391004e9c9c783fd1aacb71742025-08-20T02:01:53ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212014-02-01561Acute tubulointerstitial nephritis-uveitis (TINU) syndrome developed secondary to paracetamol and codeine phosphate use: two case reportsDemet Alaygut0Meral Torun BayramMehtat ÜnlüAlper SoyluMehmet TürkmenSalih KavukçuDepartment of Pediatric Nephrology, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey. alaygutdemet@gmail.com. Tubulointerstitial nephritis (TIN) refers to a group of heterogeneous diseases affecting the interstitial compartment of the kidney. It might be primary or can develop secondary to many urinary systemic diseases. Primary TIN develops mainly following drug usage, exposure to toxins, and also infections and humoral and cell-mediated immune reactions. In some patients, signs of systemic inflammatory reactions can be the first presenting symptoms. Histopathological evaluation reveals mononuclear cells and lymphocytes in the interstitium and tubuli. Acute and chronic TIN can resolve after elimination of the culprit destructive factors, as drugs, toxins and immune reaction. Combination of tubulointerstitial inflammation and uveitis is termed as tubulointerstitial nephritis-uveitis (TINU) syndrome. Uveitis might occur before, after, and also concomitantly with TIN. Herein, two adolescent cases of TIN and TINU, seemingly developed secondary to paracetamol and codeine phosphate use, are presented. https://turkjpediatr.org/article/view/1322
spellingShingle Demet Alaygut
Meral Torun Bayram
Mehtat Ünlü
Alper Soylu
Mehmet Türkmen
Salih Kavukçu
Acute tubulointerstitial nephritis-uveitis (TINU) syndrome developed secondary to paracetamol and codeine phosphate use: two case reports
The Turkish Journal of Pediatrics
title Acute tubulointerstitial nephritis-uveitis (TINU) syndrome developed secondary to paracetamol and codeine phosphate use: two case reports
title_full Acute tubulointerstitial nephritis-uveitis (TINU) syndrome developed secondary to paracetamol and codeine phosphate use: two case reports
title_fullStr Acute tubulointerstitial nephritis-uveitis (TINU) syndrome developed secondary to paracetamol and codeine phosphate use: two case reports
title_full_unstemmed Acute tubulointerstitial nephritis-uveitis (TINU) syndrome developed secondary to paracetamol and codeine phosphate use: two case reports
title_short Acute tubulointerstitial nephritis-uveitis (TINU) syndrome developed secondary to paracetamol and codeine phosphate use: two case reports
title_sort acute tubulointerstitial nephritis uveitis tinu syndrome developed secondary to paracetamol and codeine phosphate use two case reports
url https://turkjpediatr.org/article/view/1322
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