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10.1155/2015/250530 http://scihub22266oqcxt.onion/10.1155/2015/250530 C4667022!4667022!26664405     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Case+Rep+Med 2015 ; 2015 (ä): ä Nephropedia Template TP {{tp|p=26664405|t=2015. Allergic Interstitial Nephritis Manifesting as a Striated Nephrogram |pdf=|usr=}}{{26664405}} gab.com Text Allergic Interstitial Nephritis Manifesting as a Striated Nephrogram JO: Case Rep Med http://www.kidney.de/pget.php?&tw=1&pmid=26664405 #FOAvip Allergic interstitial nephritis (AIN) is an underdiagnosed cause of acute kidney injury (AKI). Guidelines suggest that AIN should be suspected in a patient who presents with an elevated serum creatinine and a urinalysis that shows white cells, white cell casts, or eosinophiluria. Drug-induced AIN is suspected if AKI is temporally related to the initiation of a new drug. However, patients with bland sediment and normal urinalysis can also have AIN. Currently, a definitive diagnosis of AIN is made by renal biopsy which is invasive and fraught with risks such as bleeding, infection, and hematoma. Additionally, it is frequently unclear when a kidney biopsy should be undertaken. We describe a biopsy proven case of allergic interstitial nephritis which manifested on contrast enhanced Magnetic Resonance Imaging (MRI) as a striated nephrogram. Newer and more stable macrocyclic gadolinium contrast agents have a well-demonstrated safety profile. Additionally, in the presentation of AKI, gadolinium contrast agents are safe to administer in patients who demonstrate good urine output and a downtrending creatinine. We propose that the differential for a striated nephrogram may include AIN. In cases in which the suspicion for AIN is high, this diagnostic consideration may be further characterized by contrast enhanced MRI. Twit Text FOAVip Allergic Interstitial Nephritis Manifesting as a Striated Nephrogram ????Case Rep Med http://www.kidney.de/pget.php?&tw=1&pmid=26664405 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26664405 #FOAvip English Wikipedia <ref>{{Cite pmid|26664405}}</ref> Allergic Interstitial Nephritis Manifesting as a Striated Nephrogram #MMPMID26664405 Moinuddin I; Bracamonte E; Thajudeen B; Sussman A; Madhrira M; Costello J Case Rep Med 2015[]; 2015 (ä): ä PMID26664405show ga Allergic interstitial nephritis (AIN) is an underdiagnosed cause of acute kidney injury (AKI). Guidelines suggest that AIN should be suspected in a patient who presents with an elevated serum creatinine and a urinalysis that shows white cells, white cell casts, or eosinophiluria. Drug-induced AIN is suspected if AKI is temporally related to the initiation of a new drug. However, patients with bland sediment and normal urinalysis can also have AIN. Currently, a definitive diagnosis of AIN is made by renal biopsy which is invasive and fraught with risks such as bleeding, infection, and hematoma. Additionally, it is frequently unclear when a kidney biopsy should be undertaken. We describe a biopsy proven case of allergic interstitial nephritis which manifested on contrast enhanced Magnetic Resonance Imaging (MRI) as a striated nephrogram. Newer and more stable macrocyclic gadolinium contrast agents have a well-demonstrated safety profile. Additionally, in the presentation of AKI, gadolinium contrast agents are safe to administer in patients who demonstrate good urine output and a downtrending creatinine. We propose that the differential for a striated nephrogram may include AIN. In cases in which the suspicion for AIN is high, this diagnostic consideration may be further characterized by contrast enhanced MRI. äAllergic Interstitial Nephritis Manifesting as a Striated Nephrogram (epmc).pdf DeepDyve Pubget Overpricing