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10.1016/j.ajoc.2018.03.006 http://scihub22266oqcxt.onion/10.1016/j.ajoc.2018.03.006 C5956714!5956714!29780945     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Am+J+Ophthalmol+Case+Rep 2018 ; 10 (ä): 253-6 Nephropedia Template TP {{tp|p=29780945|t=2018. Treatment challenges in an atypical presentation of tubulointerstitial nephritis and uveitis (TINU) |pdf=|usr=}}{{29780945}} gab.com Text Treatment challenges in an atypical presentation of tubulointerstitial nephritis and uveitis (TINU) JO: Am J Ophthalmol Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=29780945 #FOAvip Purpose: To describe an atypical presentation of Tubulointerstitial Nephritis and Uveitis (TINU), with challenges in treatment course. Observations: A 12-year-old Hispanic female presented to the National Eye Institute's Uveitis clinic with bilateral blurred vision, red eyes and photophobia, not responsive to topical steroids. On exam, she had bilateral severe panuveitis with areas of subretinal fluid. During her evaluation, she was noted to have elevated serum creatinine. A kidney biopsy confirmed the presence of severe tubulointerstitial nephritis and interstitial fibrosis. She was treated with oral steroids with excellent resolution of symptoms and subretinal fluid. She continued to have anterior segment flares with attempts to taper oral prednisone which lead to treatment with multiple immunomodulatory agents. Associated hypertension and kidney damage complicated the choice of a secondary immunosuppressive agent. Conclusions and Importance: Although rare, TINU can present as panuveitis with choroidal involvement which may or may not be preceded by tubulointerstitial nephritis. A renal biopsy is required for definitive diagnosis, but abnormal urinalysis or renal function should raise suspicion for TINU. Twit Text FOAVip Treatment challenges in an atypical presentation of tubulointerstitial nephritis and uveitis (TINU) ????Am J Ophthalmol Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=29780945 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29780945 #FOAvip English Wikipedia <ref>{{Cite pmid|29780945}}</ref> Treatment challenges in an atypical presentation of tubulointerstitial nephritis and uveitis (TINU) #MMPMID29780945 Caplash S; Gangaputra S; Kodati S; Tuchman S; Srinivasalu H; Sen HN Am J Ophthalmol Case Rep 2018[Jun]; 10 (ä): 253-6 PMID29780945show ga Purpose: To describe an atypical presentation of Tubulointerstitial Nephritis and Uveitis (TINU), with challenges in treatment course. Observations: A 12-year-old Hispanic female presented to the National Eye Institute's Uveitis clinic with bilateral blurred vision, red eyes and photophobia, not responsive to topical steroids. On exam, she had bilateral severe panuveitis with areas of subretinal fluid. During her evaluation, she was noted to have elevated serum creatinine. A kidney biopsy confirmed the presence of severe tubulointerstitial nephritis and interstitial fibrosis. She was treated with oral steroids with excellent resolution of symptoms and subretinal fluid. She continued to have anterior segment flares with attempts to taper oral prednisone which lead to treatment with multiple immunomodulatory agents. Associated hypertension and kidney damage complicated the choice of a secondary immunosuppressive agent. Conclusions and Importance: Although rare, TINU can present as panuveitis with choroidal involvement which may or may not be preceded by tubulointerstitial nephritis. A renal biopsy is required for definitive diagnosis, but abnormal urinalysis or renal function should raise suspicion for TINU. äTreatment challenges in an atypical presentation of tubulointerstitial(epmc).pdf DeepDyve Pubget Overpricing