Eosinophilic Granulomatous Interstitial Nephritis in Eosinophilic Granulomatous Polyangiitis

A 74-year-old woman with bronchial asthma and schizophrenia was admitted to our hospital with leg numbness and eosinophilia.Laboratory tests revealed the following: eosinophils, 11,840/L; creatinine (Cr), 0.78 mg/dL; urinary protein/Cr ratio, 0.77 g/gCr without hematuria; and urinary 2microglobulin, 83,900 g/L.Myeloperoxidase and proteinase 3 antineutrophil cytoplasmic antibody tests were negative.Computed tomography revealed ground-glass opacities in both lungs, and magnetic resonance imaging (T2-weighted imaging) revealed high-intensity lesions in the left ventricular anterior wall and septum.A renal biopsy revealed eosinophilic infiltrates (arrowheads, Picture 1) and non-

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Journal
Internal Medicine
Published
2024-09-26
DOI
https://doi.org/10.2169/internalmedicine.4274-24
Primary Topic
Vasculitis and related conditions
Type
article
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article

Eosinophilic Granulomatous Interstitial Nephritis in Eosinophilic Granulomatous Polyangiitis

Izaya Nakaya, Tokio Katakura, Machi Kiyohara, Yuki Nakamura
Internal Medicine
Vasculitis and related conditions
article

Eosinophilic Granulomatous Interstitial Nephritis in Eosinophilic Granulomatous Polyangiitis

Izaya Nakaya, Tokio Katakura, Machi Kiyohara, Yuki Nakamura
article en

Abstract

A 74-year-old woman with bronchial asthma and schizophrenia was admitted to our hospital with leg numbness and eosinophilia.Laboratory tests revealed the following: eosinophils, 11,840/L; creatinine (Cr), 0.78 mg/dL; urinary protein/Cr ratio, 0.77 g/gCr without hematuria; and urinary 2microglobulin, 83,900 g/L.Myeloperoxidase and proteinase 3 antineutrophil cytoplasmic antibody tests were negative.Computed tomography revealed ground-glass opacities in both lungs, and magnetic resonance imaging (T2-weighted imaging) revealed high-intensity lesions in the left ventricular anterior wall and septum.A renal biopsy revealed eosinophilic infiltrates (arrowheads, Picture 1) and non-

Internal MedicineVol. 64(9)
Iwate Prefectural Central Hospital (JP)
Zero hunger
Openalex Percentile: Top 69%
Vasculitis and related conditions
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Eosinophilic Granulomatous Interstitial Nephritis in Eosinophilic Granulomatous Polyangiitis — Izaya Nakaya, Tokio Katakura, et al. · Internal Medicine (2024) | TGRS Research Map | TGRS