最近审阅: 27 十月 2020
最近更新: 09 一月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 发热
  • 皮疹
  • 水肿
  • 尿量减少

危险因素

  • 触发药物的使用
  • 年龄
  • 慢性炎症性疾病

诊断性检查

首要检查

  • 血清尿素和肌酐
  • 全血细胞计数 (FBC) 与白细胞 (WBC) 分类计数
  • 尿液分析
  • 停用致病药物的试验
  • 抗中性粒细胞胞浆抗体 (ANCA)
  • 抗核抗体 (ANA)
  • 抗双链 DNA 抗体
  • 补体
更多 首要检查

需考虑的检查

  • 肾脏超声
  • 肾脏活检
  • 肾脏镓扫描
  • 尿液细胞因子
更多 需考虑的检查

治疗流程

撰稿人

Professor of Medicine (Nephrology)

Section of Nephrology

Department of Internal Medicine

Yale School of Medicine

New Haven

CT

利益声明

MAP declares that he has no competing interests.

Assistant Professor of Medicine (Nephrology)

Yale Program of Applied Translational Research

Department of Internal Medicine

Yale School of Medicine

New Haven

CT

利益声明

DGM has received a grant from the National Institutes of Health (K23DK-117065), focusing on biomarkers of acute interstitial nephritis, and is supported by the Yale O'Brien Center, focusing on subclinical acute interstitial nephritis. He has a provisional patent application (co-inventor) for provisional patent number 62/716,465, "System and methods for diagnosing acute interstitial nephritis".

Prof. Mark A. Perazella and Dr Dennis G. Moledina would like to gratefully acknowledge Dr James Marsh, Dr Alice Appel, Dr Gerald Appel, and Dr Kate Shiell, previous contributors to this topic.

利益声明

JM, AA, GA, and KS declare that they have no competing interests.

同行评议者展开全部内容

Assistant Professor

Chicago Medical School

Rosalind Franklin University

Lombard

IL

利益声明

IM declares that he has no competing interests.

Associate Professor

Nephrologist

McMaster University

Hamilton

Ontario

Canada

利益声明

CC declares that she has no competing interests.

Consultant Nephrologist/Lead Clinician

Renal Unit

Glasgow Royal Infirmary

NHS Greater Glasgow and Clyde

Glasgow

UK

利益声明

RM declares that he has no competing interests.

内容使用需遵循免责声明