PART 13: Disorders of the Kidney and Urinary Tract
285 Tubulointerstitial Diseases of the Kidney
 | Figure 285-1 Algorithm for the treatment of allergic and other immune-mediated acute interstitial nephritis (AIN). ARF, acute renal failure. See text for immunosuppressive drugs used for refractory or relapsing AIN. (Modified from S Reddy, DJ Salant: Ren Fail 20:829, 1998.) |
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 | Figure 285-2 Acute interstitial nephritis (AIN) in a patient who presented with acute iritis, low-grade fever, erythrocyte sedimentation rate of 103, pyuria and cellular casts on urinalysis, and a newly elevated serum creatinine of 2.4 mg/dL. Both the iritis and AIN improved after intravenous methylprednisolone. This PAS-stained renal biopsy... |
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 | Figure 285-3 Histologic appearance of myeloma cast nephropathy. A hematoxylin-eosin-stained kidney biopsy shows many atrophic tubules filled with eosinophilic casts (consisting of Bence-Jones protein), which are surrounded by giant cell reactions. (Courtesy of Dr. Michael N. Koss, University of Southern California Keck School of Medicine; with... |
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 | Figure 285-4 Radiographs of vesicoureteral reflux (VUR) and reflux nephropathy.A. Voiding cystourethrogram in a 7-month-old baby with bilateral high-grade VUR evidenced by clubbed calyces (arrows) and dilated tortuous ureters (U) entering the bladder (B). |
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 | Figure 285-5 Radiologic appearance of analgesic nephropathy. A non-contrast CT scan shows an atrophic left kidney with papillary calcifications in a garland pattern. (Reprinted by permission from Macmillan Publishers, Ltd., MM Elseviers et al., Kidney International 48:1316, 1995.) |
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