TINU: A Multisystemic Inflammatory Disorder—Case Report and Literature Review

Background. The syndrome of tubulointerstitial nephritis and uveitis (TINU) is a rare oculorenal condition, mainly seen in children and women. The underlying cause of this disease is unknown. Case Presentation. We report a 24-year-old male without any past medical history, diagnosed with bilateral u...

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Main Authors: Juan Montejo-Hernández, Jorge Rico-Fontalvo, Jose Cabrales, Shuchi Anand, María Cristina Martínez-Ávila, Claudia Duran-Merino, Luis Arias-Restrepo, Camilo Andrés Gómez Duran
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2024/3909755
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author Juan Montejo-Hernández
Jorge Rico-Fontalvo
Jose Cabrales
Shuchi Anand
María Cristina Martínez-Ávila
Claudia Duran-Merino
Luis Arias-Restrepo
Camilo Andrés Gómez Duran
author_facet Juan Montejo-Hernández
Jorge Rico-Fontalvo
Jose Cabrales
Shuchi Anand
María Cristina Martínez-Ávila
Claudia Duran-Merino
Luis Arias-Restrepo
Camilo Andrés Gómez Duran
author_sort Juan Montejo-Hernández
collection DOAJ
description Background. The syndrome of tubulointerstitial nephritis and uveitis (TINU) is a rare oculorenal condition, mainly seen in children and women. The underlying cause of this disease is unknown. Case Presentation. We report a 24-year-old male without any past medical history, diagnosed with bilateral uveitis and azotemia. Biopsy revealed tubulointerstitial nephritis, consistent with TINU syndrome. Fluorescein angiogram revealed peripheral retinal vasculitis. Discussion. TINU is a rare disorder that needs to be distinguished from sarcoidosis, Sjogren’s disease, and tuberculosis. Treatment is indicated in patients with progressive renal insufficiency, consisting of steroid therapy. Most patients recover kidney function. Its early recognition is important to offer the best chance of organ preservation.
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institution Kabale University
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publishDate 2024-01-01
publisher Wiley
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series Case Reports in Nephrology
spelling doaj-art-f2176e493a89456ca98901f347f405662025-02-03T06:14:53ZengWileyCase Reports in Nephrology2090-665X2024-01-01202410.1155/2024/3909755TINU: A Multisystemic Inflammatory Disorder—Case Report and Literature ReviewJuan Montejo-Hernández0Jorge Rico-Fontalvo1Jose Cabrales2Shuchi Anand3María Cristina Martínez-Ávila4Claudia Duran-Merino5Luis Arias-Restrepo6Camilo Andrés Gómez Duran7Colombian Association of Nephrology and HypertensionColombian Association of Nephrology and HypertensionDivision of NephrologyDivision of NephrologyEpidemiology and Public HealthSan Diego Ophthalmology ClinicDepartment of PathologyCES UniversityBackground. The syndrome of tubulointerstitial nephritis and uveitis (TINU) is a rare oculorenal condition, mainly seen in children and women. The underlying cause of this disease is unknown. Case Presentation. We report a 24-year-old male without any past medical history, diagnosed with bilateral uveitis and azotemia. Biopsy revealed tubulointerstitial nephritis, consistent with TINU syndrome. Fluorescein angiogram revealed peripheral retinal vasculitis. Discussion. TINU is a rare disorder that needs to be distinguished from sarcoidosis, Sjogren’s disease, and tuberculosis. Treatment is indicated in patients with progressive renal insufficiency, consisting of steroid therapy. Most patients recover kidney function. Its early recognition is important to offer the best chance of organ preservation.http://dx.doi.org/10.1155/2024/3909755
spellingShingle Juan Montejo-Hernández
Jorge Rico-Fontalvo
Jose Cabrales
Shuchi Anand
María Cristina Martínez-Ávila
Claudia Duran-Merino
Luis Arias-Restrepo
Camilo Andrés Gómez Duran
TINU: A Multisystemic Inflammatory Disorder—Case Report and Literature Review
Case Reports in Nephrology
title TINU: A Multisystemic Inflammatory Disorder—Case Report and Literature Review
title_full TINU: A Multisystemic Inflammatory Disorder—Case Report and Literature Review
title_fullStr TINU: A Multisystemic Inflammatory Disorder—Case Report and Literature Review
title_full_unstemmed TINU: A Multisystemic Inflammatory Disorder—Case Report and Literature Review
title_short TINU: A Multisystemic Inflammatory Disorder—Case Report and Literature Review
title_sort tinu a multisystemic inflammatory disorder case report and literature review
url http://dx.doi.org/10.1155/2024/3909755
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