Protocolo diagnóstico de despistaje de la nefropatía tubulointersticial
- de la Fuente, G. de Arriba
- del Valle, K.M. Pérez
- Sevillano, B. Hernández
- Gili, B. Quiroga
ISSN: 0304-5412
Argitalpen urtea: 2019
Zenbakien izenburua: Enfermedades nefrourinarias (V)Enfermedades renales tubulointersticiales.Nefropatías hereditarias y congénitas
Saila: 12
Zenbakia: 83
Orrialdeak: 4895-4898
Mota: Artikulua
Beste argitalpen batzuk: Medicine: Programa de Formación Médica Continuada Acreditado
Laburpena
Typically, tubulointerstitial nephropathy causes acute impairment of renal function, being necessary for diagnosis to take into account all possibilities of acute renal failure. Echography is a key diagnostic test in order to rule out urinary obstruction. Parenchymal causes must be assessed once acute prerenal failure has been considered. Sometimes, renal biopsy is recommended to achieve definitive diagnosis. Differential diagnosis of chronic tubulointerstitial nephropathies is with chronic kidney disease. Echography shows small size kidneys. Diagnosis is achieved once obstructive causes, inherited diseases, nephrosclerosis, diabetic nephropathy and chronic glomerulonephritis have been ruled out.
Erreferentzia bibliografikoak
- Joyce E, Glasner P, Ranganathan S, Swiatecka-Urban A. Tubulointerstitial nephritis: diagnosis, treatment, and monitoring. Pediatr Nephrol [Internet]. 2017;32(4):577-87.
- Perazella MA. Clinical approach to diagnosing acute and chronic tubulointerstitial disease. Adv Chronic Kidney Dis [Internet]. 2017;24(2):57-63.
- Praga M, González E. Acute interstitial nephritis. Kidney Int [Internet]. 2010;77(11):956-61.