Relapsing Tubulointerstitial Nephritis with Antimitochondrial M2 Antibody Accompanied by Pulmonary Involvement

We herein report a 50-year-old woman who suffered from tubulointerstitial nephritis with antimitochondrial M2 antibody, distal renal tubular acidosis, and Fanconi syndrome. Our case also had interstitial pneumonia. After initially successful glucocorticoid therapy, tubulointerstitial nephritis and i...

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Veröffentlicht in:Internal Medicine 2020/05/01, Vol.59(9), pp.1179-1187
Hauptverfasser: Nakamori, Aya, Akagaki, Fuyuko, Yamaguchi, Yoshito, Sugiura, Toshihiro
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container_issue 9
container_start_page 1179
container_title Internal Medicine
container_volume 59
creator Nakamori, Aya
Akagaki, Fuyuko
Yamaguchi, Yoshito
Sugiura, Toshihiro
description We herein report a 50-year-old woman who suffered from tubulointerstitial nephritis with antimitochondrial M2 antibody, distal renal tubular acidosis, and Fanconi syndrome. Our case also had interstitial pneumonia. After initially successful glucocorticoid therapy, tubulointerstitial nephritis and interstitial pneumonia relapsed. After the second successful round of glucocorticoid therapy, tubulointerstitial nephritis relapsed again and responded to glucocorticoid and azathioprine. This case might indicate (1) the association between pulmonary involvement and tubulointerstitial nephritis with antimitochondrial antibodies and (2) the need for a maintenance dose of glucocorticoid and immunosuppressants in tubulointerstitial nephritis with antimitochondrial antibodies.
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subjects Acidosis
Antibodies
antimitochondrial antibodies
Azathioprine
Case Report
distal renal tubular acidosis
Fanconi syndrome
Glucocorticoids
Health risk assessment
immunosuppressant
Immunosuppressive agents
Internal medicine
Nephritis
Pneumonia
pulmonary involvement
Renal tubular acidosis
tubulointerstitial nephritis
title Relapsing Tubulointerstitial Nephritis with Antimitochondrial M2 Antibody Accompanied by Pulmonary Involvement
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