Acute interstitial nephritis in the south of Iran; an observational study

Background: Acute interstitial nephritis (AIN) is an emerging cause of acute kidney injury (AKI) during the recent years. Objectives: There is no data about prevalence, causes, clinical manifestation and outcomes of AIN in our region. Hence, in this study we aimed to find the prevalence of AIN and d...

Full description

Bibliographic Details
Main Authors: Zohre Khodamoradi, Maryam Pakfetrat, Simin Torabinezhad, Mohammad Mahdi Sagheb
Format: Article
Language:English
Published: Society of Diabetic Nephropathy Prevention 2017-07-01
Series:Journal of Nephropathology
Subjects:
Online Access:https://nephropathol.com/PDF/jnp-6-225.pdf
_version_ 1797828002409611264
author Zohre Khodamoradi
Maryam Pakfetrat
Simin Torabinezhad
Mohammad Mahdi Sagheb
author_facet Zohre Khodamoradi
Maryam Pakfetrat
Simin Torabinezhad
Mohammad Mahdi Sagheb
author_sort Zohre Khodamoradi
collection DOAJ
description Background: Acute interstitial nephritis (AIN) is an emerging cause of acute kidney injury (AKI) during the recent years. Objectives: There is no data about prevalence, causes, clinical manifestation and outcomes of AIN in our region. Hence, in this study we aimed to find the prevalence of AIN and describe the causes, clinical presentation, and the outcome of AIN in the native kidney biopsies. Patients and Methods: We reviewed 934 native kidney biopsies from 2006 to 2014 and collected the data of patients with the diagnosis of AIN including medical history, clinical findings, para-clinical data, pathologic findings, treatment and outcomes. Results: Prevalence of AIN in our center during 2006 to 2014 was 2.5% of all renal biopsies. The common cause of AIN in our study was drugs. Of those patients admitted to hospital due to AIN, 17 patients (70.8%) received corticosteroid, five of them (29.4%) received pulse of corticosteroid, and 12 patients (70.6%) received oral drug. Around, 54.2% of the patients had hemodialysis during admission. Eight patients had received both dialysis and corticosteroid. Two of them (8.3%) remained on dialysis and 8 (33.3%) developed chronic kidney disease, but 14 (58.3%) patients recovered. Conclusions: The prevalence of AIN in our study is comparable to other studies and we found the great impact of medications on development of AIN.
first_indexed 2024-04-09T12:57:29Z
format Article
id doaj.art-ca04de165c984b0299a0c0352d05e2e1
institution Directory Open Access Journal
issn 2251-8363
2251-8819
language English
last_indexed 2024-04-09T12:57:29Z
publishDate 2017-07-01
publisher Society of Diabetic Nephropathy Prevention
record_format Article
series Journal of Nephropathology
spelling doaj.art-ca04de165c984b0299a0c0352d05e2e12023-05-13T11:31:23ZengSociety of Diabetic Nephropathy PreventionJournal of Nephropathology2251-83632251-88192017-07-016322523010.15171/jnp.2017.37jnp-20170517141650Acute interstitial nephritis in the south of Iran; an observational studyZohre Khodamoradi0Maryam Pakfetrat1Simin Torabinezhad2Mohammad Mahdi Sagheb3Student Research Committee, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Nephrology, Nephro-Urology Research Center, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Pathology, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Nephrology, Nephro-Urology Research Center, Shiraz University of Medical Sciences, Shiraz, IranBackground: Acute interstitial nephritis (AIN) is an emerging cause of acute kidney injury (AKI) during the recent years. Objectives: There is no data about prevalence, causes, clinical manifestation and outcomes of AIN in our region. Hence, in this study we aimed to find the prevalence of AIN and describe the causes, clinical presentation, and the outcome of AIN in the native kidney biopsies. Patients and Methods: We reviewed 934 native kidney biopsies from 2006 to 2014 and collected the data of patients with the diagnosis of AIN including medical history, clinical findings, para-clinical data, pathologic findings, treatment and outcomes. Results: Prevalence of AIN in our center during 2006 to 2014 was 2.5% of all renal biopsies. The common cause of AIN in our study was drugs. Of those patients admitted to hospital due to AIN, 17 patients (70.8%) received corticosteroid, five of them (29.4%) received pulse of corticosteroid, and 12 patients (70.6%) received oral drug. Around, 54.2% of the patients had hemodialysis during admission. Eight patients had received both dialysis and corticosteroid. Two of them (8.3%) remained on dialysis and 8 (33.3%) developed chronic kidney disease, but 14 (58.3%) patients recovered. Conclusions: The prevalence of AIN in our study is comparable to other studies and we found the great impact of medications on development of AIN.https://nephropathol.com/PDF/jnp-6-225.pdfacute interstitial nephritissteroid treatmentkidney biopsyacute kidney injury
spellingShingle Zohre Khodamoradi
Maryam Pakfetrat
Simin Torabinezhad
Mohammad Mahdi Sagheb
Acute interstitial nephritis in the south of Iran; an observational study
Journal of Nephropathology
acute interstitial nephritis
steroid treatment
kidney biopsy
acute kidney injury
title Acute interstitial nephritis in the south of Iran; an observational study
title_full Acute interstitial nephritis in the south of Iran; an observational study
title_fullStr Acute interstitial nephritis in the south of Iran; an observational study
title_full_unstemmed Acute interstitial nephritis in the south of Iran; an observational study
title_short Acute interstitial nephritis in the south of Iran; an observational study
title_sort acute interstitial nephritis in the south of iran an observational study
topic acute interstitial nephritis
steroid treatment
kidney biopsy
acute kidney injury
url https://nephropathol.com/PDF/jnp-6-225.pdf
work_keys_str_mv AT zohrekhodamoradi acuteinterstitialnephritisinthesouthofirananobservationalstudy
AT maryampakfetrat acuteinterstitialnephritisinthesouthofirananobservationalstudy
AT simintorabinezhad acuteinterstitialnephritisinthesouthofirananobservationalstudy
AT mohammadmahdisagheb acuteinterstitialnephritisinthesouthofirananobservationalstudy