Acute granulomatous iridocyclitis in a child with tubulointerstitial nephritis and uveitis syndrome.

J Ophthalmic Inflamm Infect

Department of Pediatric Rheumatology, Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul, Turkey.

Published: April 2015

AI Article Synopsis

  • Tubulointerstitial nephritis and uveitis (TINU) syndrome is a rare and often underdiagnosed condition characterized by acute bilateral eye inflammation and systemic illness symptoms.
  • A case study of a 15-year-old girl diagnosed with TINU syndrome highlights her acute granulomatous iridocyclitis and successful treatment with high-dose corticosteroids, which led to no relapses over a 20-month follow-up.
  • The study emphasizes the importance of considering TINU syndrome in the differential diagnosis for patients experiencing acute granulomatous uveitis.

Article Abstract

Background: Tubulointerstitial nephritis and uveitis [TINU] syndrome is a rare disorder that may also be underdiagnosed. Patients with TINU syndrome typically present with an acute bilateral nongranulomatous anterior uveitis following symptoms of systemic illness.

Findings: We report the case of a 15-year-old girl who presented with acute granulomatous iridocyclitis and was diagnosed with TINU syndrome based on renal biopsy findings. Both her uveitis and interstitial nephritis promptly responded to high-dose corticosteroid treatment, and there were no relapses during follow-up of 20 months.

Conclusions: TINU should be included in the differential diagnosis of patients who present with acute granulomatous uveitis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4384971PMC
http://dx.doi.org/10.1186/s12348-015-0035-2DOI Listing

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