Bilateral anterior uveitis and interstitial nephritis

Am J Ophthalmol. 1988 May 15;105(5):534-7. doi: 10.1016/0002-9394(88)90247-4.

Abstract

Five patients had bilateral anterior uveitis associated with renal disease. Interstitial nephritis was histologically confirmed in three cases. Fatigue, anorexia, abdominal pain, weight loss, and anemia were common systemic complaints or findings. In each case, the uveitis was anterior, eventually bilateral, and associated with minimal visual impairment. Complications of the uveitis included increased intraocular pressure, synechiae, keratic precipitates, macular edema, and intraretinal hemorrhage as well as cells in the anterior vitreous humor and an exudate over the pars plana. Sjögren's syndrome, systemic lupus erythematosus, sarcoid, and syphilis were excluded as diagnoses that could explain the association of renal and uveal disease.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adrenal Cortex Hormones / therapeutic use
  • Adult
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nephritis, Interstitial / complications*
  • Nephritis, Interstitial / drug therapy
  • Nephritis, Interstitial / physiopathology
  • Uveitis, Anterior / complications*
  • Uveitis, Anterior / drug therapy
  • Uveitis, Anterior / physiopathology
  • Visual Acuity

Substances

  • Adrenal Cortex Hormones