Co-occurrence of bilateral nodular anterior scleritis and large-vessel arteritis in a patient with TINU syndrome

We present a case of tubulointerstitial nephritis and uveitis (TINU) with nodular anterior scleritis and large-vessel arteritis. A 67-year-old patient was admitted to the hospital with high fever, thoracic pain, and weakness. Bilateral anterior uveitis was seen at that time. Laboratory examination s...

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Bibliographic Details
Main Authors: Zonnevylle, Kirsten, Schauwvlieghe, Pieter-Paul, Van Calster, Joachim, Lenaerts, Jan, Peeters, Domien
Format: Article
Language:English
Published: German Medical Science GMS Publishing House 2019-10-01
Series:GMS Ophthalmology Cases
Subjects:
Online Access:http://www.egms.de/static/en/journals/oc/2019-9/oc000123.shtml
Description
Summary:We present a case of tubulointerstitial nephritis and uveitis (TINU) with nodular anterior scleritis and large-vessel arteritis. A 67-year-old patient was admitted to the hospital with high fever, thoracic pain, and weakness. Bilateral anterior uveitis was seen at that time. Laboratory examination showed acute renal failure. A renal biopsy was performed and showed pathognomonic signs of tubulointerstitial nephritis (TIN). Six months later, she developed ocular inflammation suggestive of nodular scleritis. One year after hospital admission, she presented with large-vessel arteritis. We describe a case of TINU with co-occurrence of scleritis and large-vessel arteritis.
ISSN:2193-1496